Clinical Study of Effects of the Small Dural Window Exposure Strategy to Prevent Intraoperative Acute Encephalocele during Traumatic Intracranial Hematoma Evacuation_West China Medical Journal

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Department of Neurosurgery, People’s Hospital of Xixiang, Shenzhen Guangdong 518102, China;

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Keywords：

小硬脑膜窗口; 外伤性颅内血肿; 急性脑膨出

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目的:探讨对合并脑疝形成的外伤性颅内血肿患者进行小硬脑膜窗口显露预防急性脑膨出的临床价值。方法:收集我院2005年1月至2007年1月收治符合标准的合并脑疝形成的外伤性颅内血肿患者126例,均行开颅去大骨瓣减压手术,治疗组67例行小硬脑膜窗口显露的方式进行血肿清除术,对照组59例采用传统的硬脑膜切开进行清除血肿清除术。结果:治疗组患者颅内压下降速度和程度优于对照组(P lt;0.05),治疗组术中急性脑膨出的发生率低于对照组(P lt;0.05)。结论:小硬脑膜窗口显露是预防急性脑膨出发生的一种有效手术方式。

Citation： LI Guoxiong,WANG Chuanmei,GONG Liping,et al.. Clinical Study of Effects of the Small Dural Window Exposure Strategy to Prevent Intraoperative Acute Encephalocele during Traumatic Intracranial Hematoma Evacuation. West China Medical Journal, 2009, 24(8): 1915-1917. doi: Copy

1.	吴思荣.外伤后急性脑肿胀研究进展[J].国外医学神经病学神经外科分册,1996,23:257-260.
2.	朱剑勇.重型颅脑损伤术中急性脑膨出的原因及对策[J].四川医学,2008, 29(2):190-191.
3.	江基尧,朱诚.现代脑损伤[M].上海:上海科学技术文献出版社,1995:15-16.
4.	MARMAROU A,FATOUROS P P, BARZO P,et al. Contributio of edema and cerebral blood volume to traumatic brai swelling in head 2 injured patients[J].Neurosurgery, 2000,93:183.
5.	LOBATO RD, SARABIA R, CORDOBES F, et al. Posttraumatic cerebral hemispheric Swelling. Analysis of 55 cases studied with computerized tomography[J]. J Neurosurg, 1988, 68:417.
6.	惠国桢,李向东,周幽心,等.急性弥漫性脑肿胀[J].中华神经外科杂志,1994,10(5):302.
7.	DOLENC VV. Tumorsin volving the cavernoussinus. In:Kaye AH, Black PM, eds. Operative Neurosurgery[M].London, Edinburgh, New York,Philadelphia, ST. Louis, Sydney and Toronto: Churchil Living stone, 2000:.657-669.
8.	施建芳,张建军,王科.重型颅脑损伤术中脑膨出相关因素分析[J]. 浙江创伤外科,2008, 13(3):248－249.

1. 吴思荣.外伤后急性脑肿胀研究进展[J].国外医学神经病学神经外科分册,1996,23:257-260.
2. 朱剑勇.重型颅脑损伤术中急性脑膨出的原因及对策[J].四川医学,2008, 29(2):190-191.
3. 江基尧,朱诚.现代脑损伤[M].上海:上海科学技术文献出版社,1995:15-16.
4. MARMAROU A,FATOUROS P P, BARZO P,et al. Contributio of edema and cerebral blood volume to traumatic brai swelling in head 2 injured patients[J].Neurosurgery, 2000,93:183.
5. LOBATO RD, SARABIA R, CORDOBES F, et al. Posttraumatic cerebral hemispheric Swelling. Analysis of 55 cases studied with computerized tomography[J]. J Neurosurg, 1988, 68:417.
6. 惠国桢,李向东,周幽心,等.急性弥漫性脑肿胀[J].中华神经外科杂志,1994,10(5):302.
7. DOLENC VV. Tumorsin volving the cavernoussinus. In:Kaye AH, Black PM, eds. Operative Neurosurgery[M].London, Edinburgh, New York,Philadelphia, ST. Louis, Sydney and Toronto: Churchil Living stone, 2000:.657-669.
8. 施建芳,张建军,王科.重型颅脑损伤术中脑膨出相关因素分析[J]. 浙江创伤外科,2008, 13(3):248－249.

West China Medical Journal

Clinical Study of Effects of the Small Dural Window Exposure Strategy to Prevent Intraoperative Acute Encephalocele during Traumatic Intracranial Hematoma Evacuation

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