CAJ | 학술논문

目的通过穿梭硬膜悬吊和常规硬膜悬吊在颅骨修补术中的对照研究,探讨“穿梭”缝合硬膜悬吊法在颅骨修补术中的应用价值.方法回顾性分析62例采用数字化三维塑形钛网修补的颅骨缺损患者的资料.按其硬膜悬吊方法的不同,分为常规硬膜悬吊组24例和穿梭缝合硬膜悬吊组38例.对两组的手术时间、住院时间和并发症进行分析.结果穿梭硬膜悬吊组手术时间(95.80±17.31) min短于常规组[(105.41±14.62) min];住院时间(11.60±0.82)d,少于常规组[(13.00±2.54)d];两组比较差异均有统计学意义(t值分别为2.270、3.426,P均＜0.05).穿梭组并发症发生率为3％(1/38),明显低于常规组[25％ (6/24)],两组比较差异有统计学意义(P=0.011).结论穿梭缝合硬膜悬吊法能够缩短手术时间和住院时间,降低手术并发症的发生率,值得临床应用.
목적 통과천사경막현조화상규경막현조재로골수보술중적대조연구,탐토“천사”봉합경막현조법재로골수보술중적응용개치.방법 회고성분석62례채용수자화삼유소형태망수보적로골결손환자적자료.안기경막현조방법적불동,분위상규경막현조조24례화천사봉합경막현조조38례.대량조적수술시간、주원시간화병발증진행분석.결과 천사경막현조조수술시간(95.80±17.31) min단우상규조[(105.41±14.62) min];주원시간(11.60±0.82)d,소우상규조[(13.00±2.54)d];량조비교차이균유통계학의의(t치분별위2.270、3.426,P균＜0.05).천사조병발증발생솔위3％(1/38),명현저우상규조[25％ (6/24)],량조비교차이유통계학의의(P=0.011).결론 천사봉합경막현조법능구축단수술시간화주원시간,강저수술병발증적발생솔,치득림상응용.
Objective To investigate the significance of " cross" suture dura suspension method application in the repair of skull.Methods Sixty-two patients who underwent titanium mesh repair of skull defect were selected as subjects.Digital three-dimensional shape data of all subjects were recorded.According to the dura mater suspension method,all patients were divided into two regular dura suspension group (24 cases) and cross sutured dura suspension group(38 cases).The operation time,hospitalization days and complications were also recorded.Results the operation time and hospitalization periods in cross sutured dura suspension group were (95.80 ± 17.31) min and(11.60 ± 0.82) d,less than those in regular dura suspension group [(105.41 ± 14.62) min,(13.00 ± 2.54) d] and the differences were significant (t =2.270 and 3.426,P ＜ 0.05).The complication rate in cross sutured dura suspension group was 3％ (1/38),significant lower than that in regular dura suspension group [25％ (6/24) ; P =0.011].Conclusion The method of cross sutured dura suspension could be shorten the time of operation time and hospitalization days.And it could reduce the occurrence of surgical complications and then it's worthy of clinical application.