[1]张伟,夏毅,井晓荣,等.人工硬脑膜在硬膜下电极埋置术中的应用[J].中国临床神经外科杂志,2024,29(05):271-273.[doi:10.13798/j.issn.1009-153X.2024.05.005]
　ZHANG Wei,XIA Yi,JING Xiao-rong,et al.Application of artificial dura mater in subdural electrode implantation[J].,2024,29(05):271-273.[doi:10.13798/j.issn.1009-153X.2024.05.005]
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人工硬脑膜在硬膜下电极埋置术中的应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年05期
页码:
271-273
栏目:
论著
出版日期:
2024-05-30

文章信息/Info

Title:
Application of artificial dura mater in subdural electrode implantation
文章编号:
1009-153X（2024）05-0271-03
作者:
张伟; 夏毅; 井晓荣; 王超
710038西安，空军军医大学唐都医院神经外科（张伟、夏毅、井晓荣、王超）
Author(s):
ZHANG Wei;  XIA Yi;  JING Xiao-rong;  WANG Chao
Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China
关键词:
硬膜下电极埋置术; 人工硬脑膜; 自体硬脑膜; 并发症
Keywords:
Subdural electrode implantation;  Artificial dural;  Autologous dura mater;  Postoperative complication
分类号:
R 742.1; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2024.05.005
文献标志码:
A
摘要:
目的 探讨使用人工硬脑膜修补替代自体硬脑膜原位缝合在降低硬膜下电极埋置术后并发症发生率中的作用。方法 回顾性分析2008年1月至2021年12月进行硬膜下电极埋置术的308例病人的临床资料。2008年1月至2013年12月手术的163例采取自体硬脑膜原位缝合（自体硬脑膜组），2014年1月至2021年12月手术的145例采取人工硬脑膜修补（人工硬脑膜组）。两组手术评估、手术操作均为同一治疗团队完成，除对硬脑膜处理方式改变之外，其余手术流程保持一致。结果 自体硬脑膜组术后继发颅内出血13例（7.97%）、脑脊液漏22例（13.50%）、颅内感染5例（3.07%）；人工硬脑膜组术后继发颅内出血4例（2.76%）、脑脊液漏7例（4.83%）、颅内感染3例（2.07%）。人工硬脑膜组术后继发性颅内出血发生率、脑脊液漏发生率均明显低于自体硬脑膜组（P<0.045）。两组术后颅内感染发生率无统计学差异（P>0.045）。结论 在硬膜下电极埋置术中使用人工硬脑膜修补替代自体硬脑膜原位缝合，在降低继发颅内出血、脑脊液漏方面具有明显的优势。
Abstract:
Objective To investigate the role of using artificial dura mater patch in replacing autologous dura mater suture in reducing the incidence of complications after placement of subdural electrodes. Methods The clinical data of 308 patients who underwent subdural electrode implantation from January 2008 to December 2021 were retrospectively analyzed. Of the 163 patients who underwent the operation from January 2008 to December 2013, the autologous dura mater was sutured in situ (autologous dura mater group). Of the 145 patients who underwent the operation from January 2014 to December 2021, artificial dura mater patch was used (artificial dura mater group). The surgical evaluation and operation were performed by the same treatment team for both groups, and the surgical procedures were kept consistent except for the way of handling the dura mater. Results The rates of postoperative intracranial hemorrhage (7.97%) and cerebrospinal fluid leakage (13.50%) in the autologous dura mater group were significantly higher than those (2.76% and 4.83%, respectively) in the artificial dura mater group (P<0.045). There was no statistically significant difference in the incidence of postoperative intracranial infection (3.07% vs. 2.07%) between the two groups (P>0.045). Conclusion The use of artificial dura mater patch in place of autologous dura mater suture in subdural electrode implantation can reduce the incidence of postoperative intracranial hemorrhage and cerebrospinal fluid leakage.

参考文献/References:

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备注/Memo

备注/Memo:
（2022-06-12收稿，2024-01-09修回）
基金项目：陕西省自然科学基础研究计划（2014JQ4132）
通信作者：王　超，Email：superwc@163.com
更新日期/Last Update: 2024-05-30