帽状腱膜改良缝合法的临床应用  

Clinical research and application of modified galea aponeurosis technique

作　　者：周龙 柳再明 叶晖[1] 李斐[1] 薛晴 ZHOU Long;LIU Zaiming;YE Hui;LI Fei;XUE Qing(Department of Neurosurgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院神经外科

出　　处：《实用医学杂志》2019年第22期3573-3575,共3页The Journal of Practical Medicine

摘　　要：目的探讨改良的帽状腱膜缝合法在头皮缝合中的应用价值。方法选择自2014年10月至2018年3月在武汉大学人民医院神经外科住院的219例开颅手术患者,按帽状腱膜缝合方式分为两组(传统缝合组92例和改良组127例),并统计分析两组患者头皮切口线结外露率的差异。结果改良组仅1例缝线外露,外露率为0.8%;而传统缝合组有8例,线结外露率为8.7%,差异有统计学意义(χ^2=8.467,P=0.004)。结论帽状腱膜改良缝合法可有效减少线结反应及线结外露等并发症。Objective To explore the application value of modified galea aponeurosis suture in scalp suture. Methods 219 patients were admitted and performed craniotomy in the neurosurgery unit of Renmin Hospital of Wuhan University,from October 2014 to March 2018. They were enrolled and divided into traditional suture group(n = 92)and line-knots enstrophe suture group(n = 127)according to the suture methods. The rates of line-knot exposure between the two groups were analyzed. Results Only 1 case of suture exposure was found in the modified group with 0.8% exposure rate. However,the traditional suture group which had significant differences when compared to the modified group indicated 8 cases of suture exposure were found with the exposure rate of 8.7%(χ^2= 8.467,P = 0.004). Conclusion Modified galea aponeurosis can effectively reduce the occurrence probability of complications such as suture reaction and suture exposure.

关 键 词：帽状腱膜 改良缝合法 缝线外露 头皮缝合 临床研究 

分 类 号：R65[医药卫生—外科学]