[硬膜外引流及硬脑膜悬吊缝合对145例开颅手术硬膜外血肿的影响]
[Effect of epidural drainage and dural tenting suture on epidural hematoma in 145 cases of craniotomy].
作者信息
Zhao Jie, Liu Zhixiong, Liu Yunsheng, Liu Jinfang, Fang Wenhua, Rao Yihua, Yang Liang, Yuan Xianrui
机构信息
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410078, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2010 Mar;35(3):273-6. doi: 10.3969/j.issn.1672-7347.2010.03.014.
OBJECTIVE
To evaluate the efficacy of dural tenting suture and epidural drainage in craniotomy.
METHODS
In 145 cases of intracranial lesions, dural tenting suture and epidural drainage were performed to prevent epidural hematoma.
RESULTS
Postoperative computed tomography (CT) showed no epidural hematoma required surgery in both groups.
CONCLUSION
Both dural tenting suture and epidural drainage are effective in preventing epidural hematoma. Hemostasis is the key step. Dural tenting suture without epidural drainage relieves psychological stress. It decreases the risk of intracranial infection and avoids some unusual complications.
目的
评估硬脑膜悬吊缝合及硬膜外引流在开颅手术中的疗效。
方法
对145例颅内病变患者行硬脑膜悬吊缝合及硬膜外引流以预防硬膜外血肿。
结果
术后计算机断层扫描（CT）显示两组均无需要手术处理的硬膜外血肿。
结论
硬脑膜悬吊缝合及硬膜外引流在预防硬膜外血肿方面均有效。止血是关键步骤。不进行硬膜外引流的硬脑膜悬吊缝合可减轻心理压力。它降低了颅内感染风险并避免了一些异常并发症。
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