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目的探讨外伤性上矢状窦损伤的临床特征及手术治疗方式。方法总结23例上矢状窦损伤的临床表现及影像学特征。6例开放性损伤采用跨矢状窦骨瓣开颅,17例闭合性损伤根据颅骨骨折或颅内血肿情况开颅,根据上矢状窦裂口部位及大小情况选用明胶海绵压迫、直接缝合、修补或结扎矢状窦。结果14例临床痊愈,4例遗有不完全性肢体瘫痪(其中3例伴智力减退),1例肢体感觉障碍,1例性格改变,1例植物生存,死亡2例。结论对上矢状窦损伤选择正确手术方式和修复方法,是提高救治成功率,减少后遗症的关键。
Objective To investigate the clinical features and surgical treatment of traumatic superior sagittal sinus injury. Methods 23 cases of superior sagittal sinus injury clinical manifestations and imaging features. 6 cases of open injury using sagittal sinus craniotomy, 17 cases of closed injury according to cranial fracture or intracranial hematoma craniotomy, according to the size and size of the sagittal sliver selected gelatin sponge oppression, direct suture, repair Or ligation of the sagittal sinus. Results 14 cases were clinically recovered, 4 cases had incomplete limb paralysis (3 cases with mental retardation), 1 case of limb sensory disturbance, 1 case of personality change, 1 case of plant survival and 2 cases of death. Conclusion The correct operation and repair method for the superior sagittal sinus injury is the key to improve the success rate of treatment and reduce the sequelae.