硬脑膜补丁修补法与普通硬脑膜缝合在关于后颅窝手术术后并发症的比较

目的探讨硬脑膜补丁修补法与普通硬脑膜缝合在预防后颅窝手术术后皮下积液、脑脊液漏中的优势。方法对2016年10月至2019年4月采用硬脑膜补丁修补法修补缺损硬脑膜40例,同期常规修补方式修补缺损硬脑膜60例患者资料进行分析。结果硬脑膜补丁修补的40例中,术后2例(5%)出现皮下积液,1(2.5%)例出现脑脊液漏,1例(2.5%)出现颅内感染。普通硬脑膜缝合的60例中,15例(25%)出现皮下积液,7例(11.6%)出现脑脊液漏,4例(6.6%)出现颅内感染。结论硬脑膜补丁法修补法在预防后颅窝手术术后皮下积液明显优于常规修补法。

Comparison of dural patch repair and common dural suture in postoperative complications of posterior fossa surgery

Objective To explore the advantages of dural patch repair and common dural suture in preventing subcutaneous effusion， cerebrospinal fluid leakage and intracranial infection after posterior fossa surgery. Methods From October 2016 to April 2019， 40 patients with defect dura mater were repaired with dural patch repair method and 60 patients with conventional repairing method to repair defect dura mater were analyzed. Results Among the 40 cases with dural patch repair， 2 cases （5%） had subcutaneous effusion， 1 （2.5%） had cerebrospinal fluid leakage， and 1 case （2.5%） had intracranial infection. Of the 60 patients with common dural suture， 15（25%） had subcutaneous effusion， 7（11.6%） had cerebrospinal fluid leakage， and 4 （6.6%） had intracranial infection. Conclusion The dural patch method is superior to the conventional repair method in preventing subcutaneous effusion after posterior fossa surgery.