Application of Artificial Dural Patching in Microvascular Decompression and Its Influence on Postoperative Cerebrospinal Fluid Leakage
Objective:To explore the application of artificial dural patching in microvascular decompression and its influence on postoperative cerebrospinal fluid leakage.Method:This study was a retrospective cohort study.Data of 60 patients underwent microvascular decompression via retrosigmoid approach due to trigeminal neuralgia or facial spasm in Xingguo Hospital Affiliated to Gannan Medical College from January 2020 to April 2023 were collected.The patients were divided into the traditional group(was used conventional in-situ dural suture)and the improved group(was used artificial dural patching)according to the intraoperative dural restoration method,with 30 cases in each group.The operative effective rate,incidence of cerebrospinal fluid leakage,hospitalization days and hospitalization expenses were compared between the two groups.Result:There was no significant difference in the operative effective rate between the two groups(P＞0.05).Compared with the traditional group,the incidence of cerebrospinal fluid leakage was lower in the improved group,the hospitalization days was shorter,and the hospitalization expenses was less(P＜0.05).Conclusion:Artificial dural patching does not reduce the operative efficiency,and can significantly reduce the probability of cerebrospinal fluid leakage after microvascular decompression.
万方数据
维普
