跨窦骨瓣开颅术治疗骑跨静脉窦硬膜外血肿  

Treatment of epidural hematoma straddling sinus with bone flap craniotomy straddling sinus

作　　者：郭协力[1] 尹江柳[2] 蒋宇钢[3] 

机构地区：[1]晋江市医院神经外科,福建晋江362200 [2]长沙市中心医院神经外科,湖南长沙410004 [3]中南大学湘雅二医院神经外科,湖南长沙410011

出　　处：《创伤外科杂志》2008年第2期121-123,共3页Journal of Traumatic Surgery

摘　　要：目的探讨骑跨静脉窦硬膜外血肿的手术治疗策略及疗效。方法对43例骑跨静脉窦硬膜外血肿病例的临床资料、手术方式和预后进行回顾性分析。43例患者均采用跨窦骨瓣开颅,骨瓣复位,窦旁(周)硬脑膜悬吊于骨瓣相应位置的骨孔上。结果43例术后第3、6天头部CT扫描显示血肿无复发、无残留,骨瓣无移位。出院时GOS预后评分:术后死亡1例,重度残疾1例,中度残疾2例,恢复良好39例。结论跨窦骨瓣开颅术是治疗骑跨静脉窦硬膜外血肿的一种安全而且有效的方法。Objective To study the strategy of operative management and clinical outcome of epidural hematoma straddling sinus. Methods Retrospective analysis of the clinical data,surgical method and prognosis in 43 cases of epidural hematoma straddling sinus was made. All the 43 cases underwent bone flap craniotomy straddling sinus,reposited the bone flap. The cerebral dura mater surrounding the sinus were suspended to the corresponding position of the bone flap. Results No relapse of hematoma was found by CT scan on the 3rd and the 6th day after the operation. No remnant of hematoma nor shift of bone flap was found, The GOS prognosis score：well recovered in 39,medium disability in 1 ,severe disability in 1 and death in 1. Conclusion Bone flap craniotomy straddling sinus is a safe and effective cure to epidural hematoma straddling sinus.

关 键 词：颅脑损伤 静脉窦 硬膜外血肿 开颅术 

分 类 号：R651.15[医药卫生—外科学]