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帽状腱膜固定缝线以防止帽状腱膜下脑脊液积聚。

Galeal tack-up sutures to prevent subgaleal cerebrospinal fluid collection.

作者信息

Choi Won Ho, Moon Chang Taek, Koh Young-Cho, Chun Young Il, Cho Joon, Song Sang Woo

机构信息

Department of Neurosurgery, Konkuk University Medical Center, Seoul, Korea.

出版信息

J Korean Neurosurg Soc. 2013 Oct;54(4):336-9. doi: 10.3340/jkns.2013.54.4.336. Epub 2013 Oct 31.

DOI:10.3340/jkns.2013.54.4.336
PMID:24294458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3841277/
Abstract

OBJECTIVE

Postoperative subgaleal cerebrospinal fluid (CSF) collection is considered as one of the common minor surgical complication which can lead to prolonged hospitalization. We introduce "galeal tack-up suture" to prevent postoperative subgaleal CSF collection.

METHODS

Galeal tack-up suture consists of various surgical techniques which aim to fix galea to cranium in order to prevent CSF pooling in subgaleal space. A total of 87 patients who underwent craniotomy were divided into two groups while closing the wound : group A with galeal tack-up suture and group B with routine wound closure without galeal tack-up suture. The patients were observed for postoperative subgaleal CSF collection.

RESULTS

Among 87 cranitomy cases, galeal tack-up suture was performed in 32 cases and routine wound closure was done in 55 cases. Postoperative subgaleal CSF collection occurred in 13 cases (15%) in which 12 cases occurred in group B patients and 1 case occurred in group A patients (p=0.026).

CONCLUSION

Galeal tack-up suture is an easy and effective technique in wound closure to prevent postoperative CSF collection.

摘要

目的

术后帽状腱膜下脑脊液（CSF）积聚被认为是常见的轻微手术并发症之一，可导致住院时间延长。我们引入“帽状腱膜缝合固定术”以预防术后帽状腱膜下脑脊液积聚。

方法

帽状腱膜缝合固定术由多种手术技术组成，旨在将帽状腱膜固定于颅骨，以防止脑脊液在帽状腱膜下间隙积聚。总共87例行开颅手术的患者在关闭伤口时被分为两组：A组采用帽状腱膜缝合固定术，B组采用不进行帽状腱膜缝合固定术的常规伤口关闭方法。观察患者术后帽状腱膜下脑脊液积聚情况。

结果

在87例开颅手术病例中，32例行帽状腱膜缝合固定术，55例行常规伤口关闭。术后13例（15%）发生帽状腱膜下脑脊液积聚，其中B组患者12例，A组患者1例（p = 0.026）。

结论

帽状腱膜缝合固定术是一种在伤口关闭中预防术后脑脊液积聚的简单有效的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d08/3841277/845a6444db4c/jkns-54-336-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d08/3841277/ae416ca38c86/jkns-54-336-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d08/3841277/845a6444db4c/jkns-54-336-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d08/3841277/ae416ca38c86/jkns-54-336-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d08/3841277/845a6444db4c/jkns-54-336-g002.jpg

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