【摘要】 目的探讨硬脊膜损伤的分度及预防脑脊液漏的处理方法。方法回顾性研究1997年1月～2005年12月硬脊膜损伤116例,根据硬脊膜损伤缺损不同程度,采用直接缝合(A组),深筋膜及各类补片修补缝合(B组),直接缝合或各类补片修补缝合处理后再覆以生物蛋白胶(C组)。比较各组预后及脑脊液漏发生情况。结果A、B和C组脑脊液漏发生率分别为6.9%、27.3%和5.0%。结论硬脊膜损伤可分不同程度,脑脊液漏的发生与硬脊膜损伤程度有关,硬脊膜损伤修复后再覆以生物蛋白胶能有效降低脑脊液漏的发生。更多还原

【Abstract】 [Objective] To probe the degree of dural trauma and the method of preventing leakage of cerebrospinal fluid. [Methods] 116 patients sustained dural trauma were retrospected between Jan 1997 and Dec 2005. which were divided into three groups. In group A, the dural defect was satured directly, In group B, the dural defect was repaired by deep fascia or other pieces. In group C, covered with biocolloid after repairing of dural trauma during operation . The prognosis and cerebrospinal fluid leakage were observed after operation. [Results] The rates of cerebrospinal fluid leakage were 6.9%, 27.3% and 5% respectively in group A.B.C. [Conclusions] The dural trauma can be divided by differ degrees, the cerebrospinal fluid leakage occurring related with the degree of dural trauma. Using biocolloid after repairing dural trauma can reduce the cerebrospinal fluid leakage effectively.更多还原