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《Neural Injury and Functional Reconstruction》 2014-06
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Application of Artificial Dura with Suture-free in Emergency Craniocerebral Surgery

WANG jian;BAO jian-rong;Department of Neurosurgery, Taicang Hospital of Traditional Chinese Medcine;  
Objective: To study the application of artificial dura with suture-free in emergency craniocerebral surgery. Methods:The clinical effect and complication of 113 patients with artificial dura in emergency craniocerebral surgery(suture-free group) and 62 patients of autologous fascia repair(control group) were analyzed retrospectively. The patients in the two groups were follow-up for 6~12 months. Results:In the control group, 45 cases(72.6%) were cured, 17 cases were dead(27.4%). In the suture-free group, 84 cases(74.3%) were cured and 29 cases were dead(25.6%). There was no statistical significance of the efficacy between the 2 groups. The incidence of epilepsy, hydrocephalus, fluid under the skin flap in the suture-free group were significantly lower than those in the control group. The artificial dura with suture-free was found to be replaced by fibroblasts of the suture-free group in stageⅡ cranioplasty, which had low adhesion with the surrounding tissue and anatomy of a clear hierarchy. Conclusion:The artificial dura with suture-free in emergency craniocerebral surgery help restore the original anatomical level and reduce complications significantly to shorten the operation time.
【CateGory Index】: R651.11
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