摘要
目的评价硬脑膜腔重建的材料和方法。方法收集1704例手术患者资料,总结和比较硬脑膜腔重建的材料和方法:硬脑膜原位丝线缝合128例,Prolene线连续原位缝合605例,丝线间断缝合重建42例,Prolene缝线连续缝合350例,人工硬膜贴敷修补579例。结果患者均恢复良好,Prolene线连续缝合组患者的皮下积液、脑脊液漏均明显减少,术后粘连减轻。结论硬脑膜修补重建是神经外科重要的手术环节,可减少脑脊液漏的发生。缝合修补的方式有许多种,预后差异明显;使用Prolene线术后粘连减轻,连续缝合更符合密闭的生理要求。
Objective To determine the value of materials and methods of dural closure and reconstruction. Methods Different materials and methods used in 1704 patients in our department from 2000 to 2005 were summarized, such as the direct repair with suture technique including conventional interrupted suture with silk （n = 128）, continuous suture with nonabsorbable suture （Prolene, n = 605 ）, duraplasty operation using fascia of the surrounding muscle with nonabsorbable suture （ Prolene, n = 350 ） and artifact dural graft with silk （ n = 579 ）. Results All patients are recovered and discharged. Dural repair with Prolene displayed significantly less cerebrospinal fluid leakage, less subcutaneously fluidity, and less extensive chronic inflammation and meningoneural adhesions than repairs with needles and sutures. Conclusions Dural closure and reconstruction is a key link in the neurosurgery operation. The technique of continuous suture with Prolene suture is more suitable.
出处
《临床神经外科杂志》
CAS
2006年第4期167-169,共3页
Journal of Clinical Neurosurgery
