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目的观察分析胶原海绵人工硬脑膜在颅脑损伤硬脑膜修补术中的应用效果。方法 120例行硬脑膜修补术的颅脑损伤患者,随机分为A组和B组,各60例。A组患者采用胶原海绵人工硬脑膜修补,B组患者采用自体膜修补。观察比较两组手术时间、术中出血量、硬膜外总引流量以及术后并发症发生率。结果 A组并发症发生率为5.00%,明显低于B组的18.33%,差异有统计学意义(P<0.05)。A组的手术时间以及术中出血量均明显少于B组,差异有统计学意义(P<0.05);两组术后引流量比较,差异无统计学意义(P>0.05)。结论与自体膜相比较,胶原海绵人工硬脑膜用于颅脑损伤后硬脑膜修补术可以减少术后并发症发生率,并能为二期颅骨修补创造有利的条件,是硬脑膜修补的理想材料。
Objective To observe and analyze the effect of collagen sponge artificial dura mater in the treatment of traumatic brain injury. Methods A total of 120 patients with brain injury with dura mater repair were randomly divided into group A and group B, with 60 cases in each group. A group of patients with collagen sponge artificial dura repair, B group of patients with autologous membrane repair. The operation time, intraoperative blood loss, total epidural drainage and postoperative complications were observed and compared. Results The incidence of complications in group A was 5.00%, which was significantly lower than that in group B (18.33%), the difference was statistically significant (P <0.05). The operation time and intraoperative blood loss of group A were significantly less than group B, the difference was statistically significant (P <0.05). There was no significant difference in drainage volume between the two groups (P> 0.05). Conclusion Compared with the autologous membrane, the artificial sponge of the collagen sponge for dura mater repair after craniocerebral injury can reduce the incidence of postoperative complications and can create favorable conditions for the second stage of skull repair, which is the ideal material for dura repair .