Abstract:
Objective To study the method and prognosis of operation in straddle superior sagittal sinus epidural hematoma.
Methods The clinical data, operation methods and prognosis of 45 cases of straddle superior sagittal sinus epidural hematoma were analyzed retrospectively. Among 23 patients with parasagittal single bone flap craniotomy, sinus dural suspension and gelatin sponge packing hemostasis, 22 cases were double bone flap craniotomy parasagittal dural suspension, hemostatic intact bridge after the sagittal sinus.
Results Single bone flap craniotomy group parasagittal, good recovery in 10 case, mild disability in 4 case, severe disability in 4 case, plant survival of 2 case, 3 case of death. Parasagittal double bone flap craniotomy group, 15 case of good recovery, 5 case of mild disability, severe disability in 1 case, plant survival of 0 case, 1 case of death. The group of double bone flap craniotomy is better effect than single bone flap group. The difference was statlstically significant(Z=21.798, P=0.031)
Conclusion Straddle superior sagittal sinus epidural hematoma in mastering the appropriate operation indication, operation method, can obtain satisfactory result. Double bone flap craniotomy parasagittal can significantly improve the operation effect.
Key words:
Superior sagittal sinus,
Epidural hematoma,
Double bone flap
Efeng Chen, Ming Luo, Hui Qian, Zhiwei Gu. Clinical study on the treatment of epidural hematoma straddling superior sagittal sinus with double bone flap craniotomy[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2015, 01(05): 9-12.