摘要
目的观察并分析人工硬脑膜在颅脑创伤手术中修补硬膜缺损的临床资料,并评价其使用价值。方法对116例颅脑创伤患者手术中有硬脑膜缺损者应用人工硬脑膜,术后采用常规脱水抗感染治疗,并对其术后疗效与并发症的随访结果进行分析。结果在应用人工硬脑膜术后脑积水11例,皮下积液4例,硬膜外血肿3例,脑脊液切口漏2例、鼻漏1例,颅内感染3例,术后头颅CT检查未见与人工脑膜有关的异常反应和表现。其中对65例患者进行术后4～6个月颅骨修补术观察,发现人工硬脑膜可以恢复原有的解剖层次,封闭、隔离以及保护脑组织的作用良好,炎症反应轻。结论颅脑创伤手术中应用人工硬脑膜使传统开颅减压术发生了新的变化。它能够较好地重塑原有解剖层次,保护脑皮层、显著降低各种并发症的发生,减少和避免了许多中枢神经系统的迟发性损害。
Objective To observe and analyze the clinical data in the application of artificial duramater in brain trauma operation and evaluate the use value.Methods For 116 patients with brain trauma to use the artificial duramater in the operation,receive the routine treatment of dehydration and anti-infection after the operation,and analyze the postoperative effect and follow-up results of complications.Results After the operation there are 11 cases with hydrocephalus,4 cases with subcutaneous effusion,3 cases with extradural hematoma,2 cases with cerebrospinal fluid incision leakage and 1 cases with CSF leakage,3 cases with intracranial infection.And head CT didn＇t reveal any abnormal reaction related with artificial duralmater.The observation on 65 cases with skull neoplasty after the operation for 4-6 months shows that artificial duralmater can restore original anatomy,and have a good effect on blocking,isolating and protecting brain tissue.Conclusion There is a new change for the traditional craniotomy decompression operation in the application of artificial duramater in brain trauma operation,which can restore original anatomy,protect cerebral cortex,and reduce the incidence of complications significantly,thus,reducing and avoiding the delayed damage of many central nervous systems.
出处
《透析与人工器官》
2009年第4期1-4,共4页
Chinese Journal of Dialysis and Artificial Organs
关键词
人工硬脑膜
颅脑创伤
手术并发症
artificial duralmater
brain trauma
surgical complications
