摘要
目的探讨人工硬膜联合EC-耳脑胶在硬脑膜扩大修补术中的临床疗效及应用价值。方法将150行硬脑膜扩大修补术病例,随机分为观察组和对照组,每组75例,观察组用EC-耳脑胶封闭骨缘并将人工硬膜粘贴并固定于硬脑膜缺损周边,对照组将人工硬膜直接贴敷于硬脑膜缺损区。比较两组术后硬膜外引流管引流液总量及皮下积液、硬膜外血肿的发生率。结果通过对拔除硬膜外引流管前后皮下积液、硬膜外血肿及引流量的变化进行统计分析,观察组与对照组有显著差异性(P<0.05)。结论人工硬膜联合EC-耳脑胶在硬脑膜扩大修补术能明显减少硬膜外引流管引流液总量,降低了皮下积液、硬膜外血肿的发生率。
Objective To evaluate the clinical efficacy and application value of artificialduramater and EC glue in repair of dura defect.Methods 150 patients undergone repair of dura defect were randomly divided into the experimental group and control group（n=75 in each group）.In the experimental group,bone edge was closed with EC glue and artificialduramater was fixed with the border of dural defect.In the control group,the artificialduramater was directly sticked to the dural defect.After the operation,we investigated the differences in the subcutaneous effusion,epidural hematoma and the volume of the epidural drainage before and after removing the drainage from epidural space.Results By analyzing subcutaneous effusion,epidural hematoma and the volume of the epidural drainage before and after removing the drainage from epidural space,there was statistical significance between the experiment and control group（P〈0.05）.Conclusion EC glue with artificialduramater in repair of dura defect can reduce the incidence of subcutaneous effusion,epidural hematoma and the volume of the epidural drainage.
出处
《济宁医学院学报》
2012年第4期254-255,258,共3页
Journal of Jining Medical University
基金
济宁市科技局发展计划项目(编号:201085)
