免缝合可吸收人工硬脑膜DuraMax在硬脑膜缺损修补术中的临床应用  

Clinical Application the Freesuture, Absorbable Artificial Dura Mater＂ DuraMax ＂ for Repairing Dura Defects

作　　者：李卫东[1] 陶保平[1] 何庆璋[1] 丁源[1] 袁静[1] 李庆[1] 

机构地区：[1]安徽省芜湖市第一人民医院神经外科,241000

出　　处：《解剖与临床》2013年第3期227-229,共3页Anatomy and Clinics

摘　　要：目的：分析免缝合、可吸收人工硬脑膜的临床应用的资料，评价其使用价值。方法：使用免缝合、可吸收人工硬脑膜DuraMax行硬脑膜缺损或减张修补术48例，男29例、女19例，平均年龄50．7岁。其中颅内肿瘤9例，高血压性脑出血19例，颅内血管畸形5例，颅脑损伤15例。结果：本组48例手术顺利，术后体温、血常规及生化检验结果未发现有与人工硬脑膜相关的异常；45例术后恢复良好，3例（6．7％）出现程度不同的皮下积液，经穿刺抽吸、加压包扎后5天内先后吸收。无脑脊液漏、颅内感染和癫痫等并发症。结论：免缝合、可吸收人工硬脑膜DuraMax用于颅脑手术中硬脑膜缺损的修复，安全、可靠并有效，是临床上一种理想的硬脑膜修补材料。Objective：To analyze the clinical data of the application of freesuture, absorbable artificial dura mater＂ DuraMax ＂ for repairing defects, evaluate its value in use. Methods ：48 cases were performed defective dura repairing by freesuture, absorbable artificial dura mater ＂DuraMax＂, of which 29 male cases, 19 female cases, mean age 50.7 years and intracranial tumor in 9 cases, intracranial vascular malformation in 5 cases, hypertensive cerebral hemorrhage in 19 cases , cranioeerebral injury 15 cases. Results： The operation was successful and the postoperative body temperature, blood routine and biochemical test results associated with artificial dura were not found abnormal in all cases. 45 cases had a good prognosis. 3 patients （6.7%） had different degree of subcutaneous fluidify, after puncture, suction and pressure dressing, they were absorbed within 5 days and there were no complications of cerebrospinal fluid leakage, intracranial infection and epilepsy, etc. Conclusions：Freesuture absorbable artificial dura mater ＂DuraMax＂ used in the repairing dura defect during eraniocerebral operations is safe, reliable and effective, and is clinically an ideal dura.

关 键 词：免缝合 吸收 硬脑膜 缺损 生物材料 

分 类 号：R651.1[医药卫生—外科学]