带蒂颞肌筋膜瓣修补硬脑膜缺损

Repair of impaired dura mater with the pedicled temporalis fascial flap

目的总结带蒂颞肌筋膜瓣修补硬脑膜缺损的应用经验。方法对实施该项手术的56例患者进行回顾性总结。结果术后恢复良好40例,中残8例,重残4例,植物状态1例,死亡3例。没有出现脑嵌顿、皮下积液、脑脊液切口漏、感染和颞肌下坠等并发症。结论带蒂颞肌筋膜瓣是一种理想的硬脑膜修补材料,具有裁剪方便,手术操作简单等优点。

Objective To summarize the experience of repairing damaged dura mater by use of pedicled temporalis fascial flap. Methods A retrospective analysis was performed on 56 cases with damaged dura mater going through such a repair with pedicled temporalis fascial flap. Results Of the 56 cases, 40 get well recovered, 8 moderately disabled, 4 severely disabled, 1 in vegetative state and 3 in death. There happened no complications such as cerebral herniation, subcutaneous fluid accumulation, cerebral-spinal fluid leak, wound infection and the temporalis muscle ptosis. Conclusion The pedicled temporalis fascial flap is ideal material for repairing impaired dura mater with the advantages of cutting conveniently, operating simply and at less cost.