神经补片在大骨瓣开颅硬脑膜减张修补中的应用  

Application of Nerve Patch in Opening Skull Cerebral Dura Mater Decompressing Neoplasty by Removing Big Bone Valve

作　　者：郜宪礼 斯一夫 褚纪发 于小华 倪剑忠 冷俊峰 吴革华 

机构地区：[1]浙江省平湖市第一人民医院神经外科,浙江平湖314200

出　　处：《实用预防医学》2008年第2期518-520,共3页Practical Preventive Medicine

摘　　要：目的探讨颅脑损伤大骨瓣开颅人工硬脑膜减张修补的优缺点。方法对137例重型颅脑损伤病人分为神经补片硬脑膜修补组和自体组织硬脑膜修补组进行了临床观察。结果经对92例神经补片、45例自体组织硬脑膜修补患者临床疗效比较,神经补片硬脑膜修补组与自体组织硬脑膜修补组临床预后无差异,并发症发生率低于自体组织硬脑膜修补组（P〈0.05）。14例患者分别于硬脑膜修补术3-6个月后行颅骨修补时发现神经补片与正常硬脑膜已完全愈合,无不良反应。结论大骨瓣开颅人工硬脑膜减张修补可减少术后并发症。德国贝朗神经补片可安全、有效地用作大骨瓣开颅硬脑膜减张修补材料。Objective To approach the advantages and disadvantages of opening skull cerebral dura mater decompressing neoplasty by removing bigbone valve in head injury. Methods A total of 137 severe head injury patients were assigned into two groups, 92 patients were restored cerebral dura mater by nerve patch and 45 patients were restored by autologous tissue. The therapeutic outcomes of the two groups were compared each other. Results Clinical prognosis between the two groups showed no difference. The incidence of complications in the nerve patch group was lower than that of the autologous tissue group （P〈 0.05）. Complete nerve patch and normal cerebral dura mater concrescence was achieved in 14 operated patients after 3-6 months skull restoration, and no adverse effect was occurred. Conclusions Opening skull cerebral dura mater decompressing neoplasty by removing big bone valve can reduce postoperative complications. Nerve patch can be a safe and efficient material used in open skull cerebral dura mater decompressing neoplasty by removing big bone valve.

关 键 词：颅脑损伤 去骨瓣减压术 人工硬膜补片 硬脑膜修补 

分 类 号：R651.11[医药卫生—外科学]