穿梭硬膜悬吊法和常规硬膜悬吊法在颅骨修补术中应用的对照研究

Application of ＂cross＂ suture dura suspension method in the repairment of skull

目的 通过穿梭硬膜悬吊和常规硬膜悬吊在颅骨修补术中的对照研究,探讨“穿梭”缝合硬膜悬吊法在颅骨修补术中的应用价值.方法 回顾性分析62例采用数字化三维塑形钛网修补的颅骨缺损患者的资料.按其硬膜悬吊方法的不同,分为常规硬膜悬吊组24例和穿梭缝合硬膜悬吊组38例.对两组的手术时间、住院时间和并发症进行分析.结果 穿梭硬膜悬吊组手术时间（95.80±17.31） min短于常规组[（105.41±14.62） min];住院时间（11.60±0.82）d,少于常规组[（13.00±2.54）d];两组比较差异均有统计学意义（t值分别为2.270、3.426,P均＜0.05）.穿梭组并发症发生率为3％（1/38）,明显低于常规组[25％ （6/24）],两组比较差异有统计学意义（P=0.011）.结论 穿梭缝合硬膜悬吊法能够缩短手术时间和住院时间,降低手术并发症的发生率,值得临床应用.

Objective To investigate the significance of ＂ cross＂ suture dura suspension method application in the repair of skull.Methods Sixty-two patients who underwent titanium mesh repair of skull defect were selected as subjects.Digital three-dimensional shape data of all subjects were recorded.According to the dura mater suspension method,all patients were divided into two regular dura suspension group （24 cases） and cross sutured dura suspension group（38 cases）.The operation time,hospitalization days and complications were also recorded.Results the operation time and hospitalization periods in cross sutured dura suspension group were （95.80 ± 17.31） min and（11.60 ± 0.82） d,less than those in regular dura suspension group [（105.41 ± 14.62） min,（13.00 ± 2.54） d] and the differences were significant （t =2.270 and 3.426,P ＜ 0.05）.The complication rate in cross sutured dura suspension group was 3％ （1/38）,significant lower than that in regular dura suspension group [25％ （6/24） ; P =0.011].Conclusion The method of cross sutured dura suspension could be shorten the time of operation time and hospitalization days.And it could reduce the occurrence of surgical complications and then it＇s worthy of clinical application.