人工脑膜在急诊颅脑手术中的应用价值  

The Application of Artificial Dura in Emergency Craniocerebral Surgery

作　　者：陈瑶刚[1] 赵明媚[1] 宁铁英[1] 刘伯晨[1] 

机构地区：[1]青岛大学医学院第二附属医院神经外科,山东青岛266042

出　　处：《河北医学》2010年第6期688-689,共2页Hebei Medicine

摘　　要：目的:探讨分析人工脑膜在急诊颅脑手术中的疗效及应用价值。方法:回顾性分析我院65例行人工脑膜修补术的急诊颅脑手术患者,其中外伤性颅脑损伤43例,高血压脑出血22例,均行硬脑膜缺损修补术或扩大修补术,对其疗效、术后并发症及其随访结果进行分析。结果:全部病例术后头颅CT检查未见硬脑膜异常,其中并发脑膨出8例,脑积水4例,硬膜下积液5例,另外28例患者行Ⅱ期颅骨修补术时术中观察表明,人工脑膜封闭隔离保护脑组织的作用良好,炎症反应轻,解剖层次清晰。结论:急诊颅脑手术应用人工脑膜安全有效,可恢复原有解剖层次,显著降低各种并发症,缩短手术时间,提高手术成功率。Objective：To study the application of artificial dura in emergency craniocerebral surgery.Method：65 patients with artificial dura in emergency craniocerebral surgery were analysed retrospectively.Result：65 cases of operation with artificial dura in emergency craniocerebral surgery were successful.28 patients with stage Ⅱ cranioplasty showed that the artificial dura protected brain tissue well.Conclusion：The artificial dura in emergency craniocerebral surgery was safe and effective.

关 键 词：人工脑膜 急诊 颅脑手术 

分 类 号：R651.1[医药卫生—外科学]