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目的:探讨颅内静脉窦损伤的手术方法及治疗效果。方法:对33例颅内静脉窦损伤患者做以下处理:窦壁损伤用明胶海绵压迫两侧硬脑膜悬吊止血;边缘整齐的裂口可以用细丝线缝合;较大而不规则的裂口可以翻转硬脑膜,颞肌筋膜或者骨膜片修补,有时少许颅骨的存留可行骨桥悬吊。结果:25例恢复良好,偏瘫3例,失语3例,死亡2例。病死率为6.1%。结论:在充分的术前准备下,针对不同类型的颅内静脉窦损伤采用相应的手术方法,可取得满意疗效。
Objective: To investigate the surgical treatment of intracranial venous sinus injury and its therapeutic effect. Methods: Thirty-three patients with intracranial venous sinus injury were treated with sinus wall injury. The gelatin sponge was used to compress both sides of the dural sac to stop the bleeding. The neat edge of the wound could be sutured with fine thread. The larger and irregular gap could be reversed Meningeal, temporal fascia or periosteal patch, sometimes a little skull suspension feasible suspension bridge. Results: 25 cases recovered well, hemiplegia in 3 cases, aphasia in 3 cases and 2 deaths. The case fatality rate was 6.1%. CONCLUSIONS: With adequate preoperative preparation, appropriate surgical methods can be applied to different types of intracranial sinus lesions, which can achieve satisfactory results.