生物型人工硬脑膜修复脑静脉窦的临床研究

Clinical research on repairing cerebral venous sinus with biological artificial dura mater

目的探讨生物型人工硬脑膜在治疗脑静脉窦破裂出血中的实用价值及治疗经验。方法回顾性分析78例采用明胶海绵压迫止血联合生物型人工硬脑膜重叠缝合以及医用生物蛋白胶封闭方法治疗开放性颅脑损伤伴脑静脉窦损伤患者的临床资料及预后,结合文献进行讨论。结果 78例患者中38例痊愈,33例好转出院,4例死亡,3例自动出院。结论生物型人工硬脑膜在开放性颅脑损伤伴脑静脉窦损伤的治疗中能有效地发挥止血作用,减少并发症的发生,提高手术成功率,值得推广。

Objective To discuss practical value and therapeutic experience of biological artificial dura mater in hemorrhage treatment after cerebral venous sinus injury.Methods Retrospective analysis was employed in clinical data and prognosis of 78 patients with open head injury combining cerebral venous sinus injury who had undergone surgery using gelatin sponge hemostasis,biological artificial dura mater with overlapping suture and medical biological fibrin glue closure,and discussion on them was performed with literature review.Results In 78 patients,38 cases were cured,33 patients improved and discharged,4 deaths,and 3 patients were discharged on their own accord.Conclusion Biological artificial dura mater utilized in open craniocerebral injury with cerebral venous sinus injury treatment can effectively play a role in hemostasis,reduce complications and improve operation success rate,and is worth promoting.