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目的探究后颅脑肿瘤开颅术中硬脑膜重建的材料、方法与效果。方法 200例神经外科患者,随机分为观察组和对照组,各100例。观察组使用枕下正中或枕下正中向外切口入路,Y形或H形切开硬脑膜后,用双极弱电流电凝硬脑膜边缘出血,待术后进行硬脑膜重建;对照组采取后颅窝开颅术(无硬脑膜重建)。对比两组的术后恢复情况和患者满意度。结果观察组患者术后恢复情况优于对照组(P<0.05);观察组患者满意度高于对照组(P<0.05)。结论后颅窝硬脑膜缝合是手术环节的重要一环,能有效减少脑脊液漏。通过无损伤不可吸收缝线连续缝合粘连更轻,局部筋膜修补比较经济实惠,因此连续缝合更符合现状。
Objective To explore the materials, methods and effects of dural reconstruction in craniocerebral tumors after craniocerebral tumor. Methods 200 cases of neurosurgical patients were randomly divided into observation group and control group, each 100 cases. The observation group used the suboccipitous or suboccipitial median incision approach. The Y-shaped or H-shaped incision of the dura mater was performed with bipolar weak current to cause coagulation of the dura at the edge of the dura to undergo dural remodeling after operation. The control group Posterior craniotomy craniotomy (no dural reconstruction). The postoperative recovery and patient satisfaction were compared between the two groups. Results The postoperative recovery of the observation group was better than that of the control group (P <0.05). The satisfaction of the observation group was higher than that of the control group (P <0.05). Conclusion Posterior fossa dura suture is an important part of the operative procedure, which can effectively reduce cerebrospinal fluid leakage. Through non-damage non-absorbable suture continuous suture adhesion lighter, local fascia repair more economical, so continuous suture more in line with the status quo.