摘要
目的探讨静脉窦损伤患者的临床特点及处理策略。方法回顾性分析2002-01～2009-12我院收治的38例外伤性静脉窦损伤患者的临床特点、手术方式和预后进行性回顾性分析,所有患者均采用跨窦骨瓣开颅、静脉窦损伤紧急修补。结果 38例中恢复良好22例,中度残疾9例,重度残疾4例,植物状态1例,死亡2例。结论跨窦骨瓣开颅,根据术中静脉窦具体的损伤特点采用相应的修补方法 ,控制颅内大出血,恢复静脉窦血流,可显著提高静脉窦损伤患者的预后。
Objective To investigate the clinical feature and therapeutic approach of venous sinus injury.Methods A retrospective analysis of clinic feature,surgical method,prognosis in 38 patients with venous sinus injury treated in our hospital from January 2002 to December 2009 was made.All patients underwent bone flap craniotomy straddling sinus and venous sinus emery repair.Results In 38 patients,well recovered in 22 cases,moderate disability in 9 cases,severe disability in 4 cases,vegetative state in 1 case and death in 2 cases.Conclusion Bone flap craniotomy straddling sinus and venous sinus repair,on the basis of the specific features of venous sinus injury to control intracranial hemorrhage and restore blood flow of venous sinus,can significantly improve the prognosis of patients with venous sinus injury.
出处
《中国实用神经疾病杂志》
2010年第10期26-28,共3页
Chinese Journal of Practical Nervous Diseases
关键词
颅脑损伤
静脉窦
硬膜外血肿
开颅术
Craniocerebral injury
Venous sinus
Epidural hematoma
Craniotomy
