颈项肌肉泵在术后假性脑膜膨出中的作用  

Mechanism and Treatment of Pseudomeningocele of Post-suboccipital Craniotomy

作　　者：梁庆华[1] 李太平[1] 

机构地区：[1]河南省人民医院神经外科,郑州市450003

出　　处：《医药论坛杂志》2005年第13期27-28,共2页Journal of Medical Forum

摘　　要：目的探讨枕下入路开颅术后假性脑膜膨出的原因及防治,观察颈项肌肉泵在此过程中所起的作用。方法回顾分析1998年9月～2004年12月我院经治的枕下开颅术后出现假性脑膜膨出的病人17例。结果采用穿刺加压包扎等多种方法治疗后,17例病人假性脑膜膨出均治愈。结论术后假性脑膜膨出的原因在于颅压高、硬膜破损形成活瓣及硬膜外腔隙形成三种因素;颈项肌肉泵在其中起重要作用。Objective To study mechanism and treatment of pseudomeningocele of post-suboccipital approach craniotomy,put forward that neck muscles movement play a important role in developing pseudomeningocele. Methods 17 cases of pseudomeningocele after suboccipital approach surgery from September, 1998 to December, 2004 were analyzed retrospectively. Results After the treatment 17 patients with the disease were all cured.Conclusion Mechanism of pseudomeningocele contributes to high intracranial pressure. Dura disintegrated to form valve and extradural space , in which neck muscles play a critical role .

关 键 词：枕下入路 假性脑膜膨出 治疗 

分 类 号：R651.1[医药卫生—外科学]