采用枕部横窦上入路开颅治疗跨横窦硬膜外血肿9例体会  

Treatment of 9 cases of epidural hematoma straddling transverse sinus by craniotomy through Poppen incision and milling bone flap

作　　者：任民[1] 尹华锦[1] 吴岱宗 李国平[1] 王志军[1] 裔德超 

机构地区：[1]郫县人民医院神经外科,四川郫县611730

出　　处：《四川医学》2011年第12期1980-1981,共2页Sichuan Medical Journal

摘　　要：目的探讨采用Poppen切口入路治疗跨横窦硬膜外血肿的手术方法。方法采用Poppen切口入路,铣刀作骨瓣开颅,暴露骑跨横窦硬膜外血肿、矢状窦及横窦,清除血肿,修补受损的横窦,颅骨连接片固定颅骨。结果 9例手术患者均顺利治愈,无术后再出血,无神经功能障碍及颅骨缺损。结论采用Poppen切口入路,能良好暴露并清除跨横窦硬膜外血肿,安全修复颅骨。Objective To explore the surgical method of treating epidural hematoma straddling transverse sinus through Poppen incision. Methods Craniotomy through Poppen incision and milling bone flap, reveal epidural hematoma, sagittal sinus and transverse sinus, then evacuate the hematoma, repair the impaired transverse sinus, and fix cranial bone flap with titanium connecting pieces. Results All of the 9 patients were cured without rebleeding after operation, and no nerve dysfunction and eranial bone defect. Conclusion Craniotomy through Poppen incision could adequately reveal and smoothly remove the epidural hematoma straddling transverse sinus , and fix cranial bone flap safely.

关 键 词：Poppen 骑跨 横窦 硬膜外血肿 

分 类 号：R651.15[医药卫生—外科学]