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目的:探讨对合并脑疝形成的外伤性颅内血肿患者进行小硬脑膜窗口显露预防急性脑膨出的临床价值。方法:收集我院2005年1月至2007年1月收治符合标准的合并脑疝形成的外伤性颅内血肿患者126例,均行开颅去大骨瓣减压手术,治疗组67例行小硬脑膜窗口显露的方式进行血肿清除术,对照组59例采用传统的硬脑膜切开进行清除血肿清除术。结果:治疗组患者颅内压下降速度和程度优于对照组(P<0.05),治疗组术中急性脑膨出的发生率低于对照组(P<0.05)。结论:小硬脑膜窗口显露是预防急性脑膨出发生的一种有效手术方式。
Objective: To investigate the clinical value of small dural window in patients with traumatic intracranial hematomas complicated with cerebral hernia to prevent acute encephalocele. Methods: A total of 126 patients with traumatic intracranial hematoma who were admitted to our hospital from January 2005 to January 2007 were enrolled. All patients underwent craniotomy for decompressive craniectomy. 67 patients in the treatment group were small Dural window revealed the way hematoma removal, the control group of 59 patients with conventional dural incision for hematoma removal. Results: The decrease rate and degree of intracranial pressure in the treatment group were better than those in the control group (P <0.05). The incidence of acute encephalocele in the treatment group was lower than that in the control group (P <0.05). Conclusion: Small dural window is an effective way to prevent acute encephalocele.