硬膜网格成形与常规减压影像学对比分析

The comparisive analyses of imaging features between lattice duraplasty and routine method in decompressive craniectomy

目的比较重型颅脑损伤患者开颅术中应用硬脑膜网格成形与常规方法减压两种术式的术后影像学表现。方法60例重型颅脑损伤伴脑肿胀患者分为两组,均行开颅去大骨瓣减压手术治疗,术中分别应用硬脑膜网格成形与常规方法减压,统计两组患者术后影像学表现并进行对比分析。结果术中急性脑膨出及术后脑嵌顿发生率在两组间比较有差异;术后中线移位、环池受压情况及术后脑积水、硬膜下积液发生率比较均无明显差异。结论开颅去骨瓣减压术中运用硬脑膜网格成形技术有助于降低术中急性脑膨出,防止术后并发症。

Objective To compare the postoperative CT imaging of patients with severe traumatic brain injury between lattice duraplasty and routine method in decompressive craniectomy. Methods 60 patients with severe traumatic brain injury and brain swelling treated by decompressive craniectomy were randomly divided into lattice duraplasty and routine method groups and were compared the imaging features after operation. Results There was difference in the accurance of intra-operative acute encephalocele and postoperative brain incarceration between two groups. There was no difference in the midline shift, compression of basal cistern after operation and other postoperative complications. Conclusions Lattice duraplasty aids to reduce intra-operative acute encephalocele and postoperative complications.