Application of dural bilaminar saturation in frontal-temporal skull defect repairs after standard decompres-sive craniectomy
10.3760/cma.j.issn.1008-6706.2015.17.015
- VernacularTitle:硬膜双层缝合在额颞区大骨瓣减压术后颅骨缺损修补中的应用
- Author:
Yongsheng WANG
;
Zhiqiang WANG
;
Xianwen ZHOU
;
Qiang JIA
;
Zongbao WANG
- Publication Type:Journal Article
- Keywords:
Skull defects;
Dural bilaminar saturation;
Standard decompressive craniectomy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(17):2604-2606
- CountryChina
- Language:Chinese
-
Abstract:
Objective To approach the operative effect of dural bilaminar saturation in frontal -temporal skull defect repairs after standard decompressive craniectomy.Methods Fifty-two patients with titanium cranioplas-ty in frontal-temporal skull defect were retrospectively analyzed;27 of them adopted dural bilaminar saturation in the first standard decompressive craniectomy(test group);25 of them adopted dural monostratal saturation in the first operation (control group).The operation time,blood loss,postoperative complications in the two groups were compared. The mean operation time:the test group was (65.00 ±8.15)min and the control group was (83.00 ± 10.25)min,there was statistically significant differences between the two groups(t =7.059,P<0.05);average amount of bleeding:the test group was (55 ±8)mL and the control group was (79 ±12)mL,there was statistically significant differences between the two groups (t=8.541,P<0.05);postoperative complications:adverse reactions were noted in 4 patients of test group (14.8%),5 cases of control group (20%),there was no significant differences between the two groups (χ2 =0.016,P>0.05).Conclusion Skull repairs in second standard decompressive crani-ectomy by dural bilaminar saturation,can be shortened the operation time and lessened amount of bleeding.
