关键词: 颅骨骨膜, 硬脑膜减张缝合, 去骨瓣减压术, 急性小脑幕切迹疝

Abstract: ［Abstract］ Objective To compare the clinical effects of two surgical procedures between duramater tension-reduced suture using pericranium and traditional dura mater suture in decompressive hemicraniectomy of acute transtentorial herniation. Methods From January 2016 to June 2017，a retrospective analysis was performed on the prognosis of patients with decompressive hemicraniectomy of acute transtentorial herniation. Mann-Whitney U test was used to analyze the GOS difference between dura mater tension?reduced suture using pericranium and traditional dura mater suture. Results When compared with traditional dura mater suture（control group，n=24），the patients underwent dura mater tension-reduced suture using pericranium （observation group，n=26） showed lower GOS scores （P< 0.05）. Conclusion Dura mater tension?reduced suture was superior to traditional dura mater suture in prognosis and reducing the occurrence of complications and should be generalized.

Key words: decompressive hemicraniectomy, acute transtentorial herniation, pericranium, dura mater tension?reduced suture