摘要
目的探讨硬膜严密缝合对听神经瘤术后脑脊液切口漏的影响。方法回顾性分析236例听神经瘤病人的临床资料,均经乙状窦后入路切除肿瘤。严密缝合组(n=212)采用水密缝合,对照组(n=24)采用敞开或非严密缝合。结果硬膜严密缝合组脑脊液切口漏发生率为2.8%(6/212),对照组发生率为12.5%(3/24),但两组发生率没有统计学差异(P=0.052)。结论听神经瘤术后脑脊液切口漏发生率低可能与严密缝合有关,但仍需进一步研究。
Objective To explore the effect of tightly suturing the dura on the cerebrospinal fluid wound leakage after the removal of vestibular schwannoma （acoustic neuroma）. Methods Clinical data of 236 patients undergoing resection of acoustic neuroma via retrosigmoid approach were analyzed retrospectively. The patients were divided into tight suturing group （n=212） and control group （n=24）. Watertight suture technique was used in patients of tight stitching group, while opening or non-watertight suture was applied for the patients in control group. Results The incidence of cerebrospinal fluid wound leakage was 2.8% （6/212） in tight suturing group and 12.5% （3/24） in control group. There was no significant difference in leakage rate between the two groups （P=0.052）. Conclusions The low cerebrospinal fluid wound leakage rate in patients after operation for acoustic neuroma may be related with tight suturing, which needs further study.
出处
《中国微侵袭神经外科杂志》
CAS
2012年第6期252-254,共3页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
听神经瘤
脑脊液漏
入路
乙状窦后
硬膜
严密缝合
vestibular schwarmoma
cerebrospinal fluid wound leakage
approach, retrosigmoid
dura
tight stitching
