U-Y减张缝合硬脑膜修补术97例报告

U-Y tension-reduced suture in dural repairing of decompressive carniectomy-a 97 cases report

目的探讨去骨瓣减压术中硬膜减张缝合的手术方法。方法对97例符合去骨瓣减压指征患者采用自行设计的U-Y减张缝合修补硬脑膜。结果 97例中5例死于原发病,2例死于术后其他并发症。存活90例中89例获随访,未出现脑脊液漏、感染及皮下积液等并发症,减压效果令人满意。结论 UY减张缝合硬脑膜修补术具有操作简单、补片利用充分、减压均匀、颞窝减压尤其充分等优点,值得临床推广。

Objective To investigate a tension-reduced surgical suture technique for dural repairing in decompressive eraniectomy. Method 97 patients who met the indications for decompressive craniectomy were carried out with dural repairing by self designed U-Y tension- reduced suture technique. Results In total 97 patients, 5 died of original disease, 2 died Of other postoperative complications. Of survival 90 patients, 89 were received follow-up. There were no complications such as cerebrospinal fluid leakage, infection and subcutaneous fluid accumulation. The effect on decompression was satisfied. Conclusions U-Y tension-reduced suture for dural repairing is a simple procedure with a best use of patch and even decompressive effect, especially the temporal fossa decompression is more adequate. This technique is worthy of clinical application for decompressive eraniectomy.