CAJ | 학술논문

目的：研究人工脑膜在开颅去骨瓣减压术中的临床应用价值。方法：选取2012年6月至2014年4月本院进行开颅骨瓣减压手术治疗的病人96例，随机分为A组（50例）和B组（46例）， A组采用常规手术治疗，减压窗硬脑膜不缝合，B组采用人工脑膜无张力修补减压窗的硬脑膜缺损手术治疗，比较两组的临床效果和并发症情况。结果：B组并发症发生率明显低于A组，差异具有统计学意义（P＜0．05）；B组术后的预后效果优于A组，差异具有统计学意义（P＜0．05）。结论：开颅去骨瓣减压手术当中采取人工脑膜，可降低并发症的发生率，提高病人生存质量，具有临床推广价值。
목적：연구인공뇌막재개로거골판감압술중적림상응용개치。방법：선취2012년6월지2014년4월본원진행개로골판감압수술치료적병인96례，수궤분위A조（50례）화B조（46례）， A조채용상규수술치료，감압창경뇌막불봉합，B조채용인공뇌막무장력수보감압창적경뇌막결손수술치료，비교량조적림상효과화병발증정황。결과：B조병발증발생솔명현저우A조，차이구유통계학의의（P＜0．05）；B조술후적예후효과우우A조，차이구유통계학의의（P＜0．05）。결론：개로거골판감압수술당중채취인공뇌막，가강저병발증적발생솔，제고병인생존질량，구유림상추엄개치。
Objective:To analyze the clinical value of application of artificial meninges in decompres-sive craniectomy .Method:96 cases of patients treated with decompressive craniotomy surgery in our hospital from June 2012 to April 2014, were randomly divided into group A ( with 50 cases) and group B ( with 46 ca-ses) , group A was treated with conventional surgery , the decompression windows dural was not sutured , group B was treated with artificial meningeal tension-free repair decompression windows dural defect surgery , the clinical effects and complications were compared in two groups .Result:The group B of complication rate was lower than the group A (P<0.05),the differences were statistically significant (P<0.05).The group B of prognosis effects postoperative was better than the group A , the differences were statistically significant ( P<0. 05).Conclusion:In craniotomy decompressive craniectomy surgery using artificial meninges , can reduce the complication rate , improve the life quality of patients , and has the value of clinical promotion .