CAJ | 학술논문

目的：探究后颅脑肿瘤开颅术中硬脑膜重建的材料、方法与效果。方法200例神经外科患者，随机分为观察组和对照组，各100例。观察组使用枕下正中或枕下正中向外切口入路， Y形或H形切开硬脑膜后，用双极弱电流电凝硬脑膜边缘出血，待术后进行硬脑膜重建；对照组采取后颅窝开颅术(无硬脑膜重建)。对比两组的术后恢复情况和患者满意度。结果观察组患者术后恢复情况优于对照组(P<0.05)；观察组患者满意度高于对照组(P<0.05)。结论后颅窝硬脑膜缝合是手术环节的重要一环，能有效减少脑脊液漏。通过无损伤不可吸收缝线连续缝合粘连更轻，局部筋膜修补比较经济实惠，因此连续缝合更符合现状。
목적：탐구후로뇌종류개로술중경뇌막중건적재료、방법여효과。방법200례신경외과환자，수궤분위관찰조화대조조，각100례。관찰조사용침하정중혹침하정중향외절구입로， Y형혹H형절개경뇌막후，용쌍겁약전류전응경뇌막변연출혈，대술후진행경뇌막중건；대조조채취후로와개로술(무경뇌막중건)。대비량조적술후회복정황화환자만의도。결과관찰조환자술후회복정황우우대조조(P<0.05)；관찰조환자만의도고우대조조(P<0.05)。결론후로와경뇌막봉합시수술배절적중요일배，능유효감소뇌척액루。통과무손상불가흡수봉선련속봉합점련경경，국부근막수보비교경제실혜，인차련속봉합경부합현상。
Objective To investigate material, method and effect for dural reconstruction in posterior intracranial tumor craniotomy. Methods A total of 200 patients in department of neurosurgery were randomly divided into observation group and control group, with 100 cases in each group. The observation group received middle suboccipital or outside incision approach, bipolar low current for endocranium edge blood coagulation after Y or H cut of endocranium, and postoperative dural reconstruction. The control group received posterior cranial fossa craniotomy (without dural reconstruction). Comparisons were made on postoperative recovery and patients’satisfaction degree. Results The observation group had better postoperative recovery condition than the control group (P<0.05). Patients’satisfaction degree in the observation group was higher than the control group (P<0.05). Conclusion Posterior cranial fossa dural suture is an important section in surgery, and it can effectively reduce leakage of cerebrospinal fluid. Implement of non-invasive non-absorbable suture can provide slight continuous suture and economical partial fascia repair. Therefore, continuous suture is practical.