摘要
目的:探讨分析人工脑膜在急诊颅脑手术中的疗效及应用价值。方法:回顾性分析我院65例行人工脑膜修补术的急诊颅脑手术患者,其中外伤性颅脑损伤43例,高血压脑出血22例,均行硬脑膜缺损修补术或扩大修补术,对其疗效、术后并发症及其随访结果进行分析。结果:全部病例术后头颅CT检查未见硬脑膜异常,其中并发脑膨出8例,脑积水4例,硬膜下积液5例,另外28例患者行Ⅱ期颅骨修补术时术中观察表明,人工脑膜封闭隔离保护脑组织的作用良好,炎症反应轻,解剖层次清晰。结论:急诊颅脑手术应用人工脑膜安全有效,可恢复原有解剖层次,显著降低各种并发症,缩短手术时间,提高手术成功率。
Objective:To study the application of artificial dura in emergency craniocerebral surgery.Method:65 patients with artificial dura in emergency craniocerebral surgery were analysed retrospectively.Result:65 cases of operation with artificial dura in emergency craniocerebral surgery were successful.28 patients with stage Ⅱ cranioplasty showed that the artificial dura protected brain tissue well.Conclusion:The artificial dura in emergency craniocerebral surgery was safe and effective.
出处
《河北医学》
CAS
2010年第6期688-689,共2页
Hebei Medicine
关键词
人工脑膜
急诊
颅脑手术
Artificial dura
Emergency
Craniocerebral surgery