人工脑膜在开颅去骨瓣减压术中的临床应用研究  

The Clinical Study of Artificial Meninges in Decompressive Craniectomy

作　　者：邱乃锡 罗家扬 柯胜蓝 赵毅 

机构地区：[1]广东省海丰县彭湃纪念医院,广东海丰516400

出　　处：《河北医学》2015年第1期72-75,共4页Hebei Medicine

基　　金：广东省汕尾市基金项目;(编号:2013C038)

摘　　要：目的:研究人工脑膜在开颅去骨瓣减压术中的临床应用价值。方法:选取2012年6月至2014年4月本院进行开颅骨瓣减压手术治疗的病人96例,随机分为A组(50例)和B组(46例),A组采用常规手术治疗,减压窗硬脑膜不缝合,B组采用人工脑膜无张力修补减压窗的硬脑膜缺损手术治疗,比较两组的临床效果和并发症情况。结果:B组并发症发生率明显低于A组,差异具有统计学意义(P<0.05);B组术后的预后效果优于A组,差异具有统计学意义(P<0.05)。结论:开颅去骨瓣减压手术当中采取人工脑膜,可降低并发症的发生率,提高病人生存质量,具有临床推广价值。Objective：To analyze the clinical value of application of artificial meninges in decompres-sive craniectomy .Method：96 cases of patients treated with decompressive craniotomy surgery in our hospital from June 2012 to April 2014, were randomly divided into group A （ with 50 cases） and group B （ with 46 ca-ses） , group A was treated with conventional surgery , the decompression windows dural was not sutured , group B was treated with artificial meningeal tension-free repair decompression windows dural defect surgery , the clinical effects and complications were compared in two groups .Result：The group B of complication rate was lower than the group A （P〈0.05）,the differences were statistically significant （P〈0.05）.The group B of prognosis effects postoperative was better than the group A , the differences were statistically significant （ P〈0. 05）.Conclusion：In craniotomy decompressive craniectomy surgery using artificial meninges , can reduce the complication rate , improve the life quality of patients , and has the value of clinical promotion .

关 键 词：开颅去骨瓣减压术 人工脑膜 临床应用 

分 类 号：R651.1[医药卫生—外科学]