Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (51): 8914-8919.doi: 10.3969/j.issn.2095-4344.2013.51.021

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Bio-artificial dura mater in repair of dural defects

Chen Jing, Shi Song-sheng, Zhang Guo-liang, Chen Jian-ping   

  1. Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou  350001, Fujian Province, China
  • Online:2013-12-17 Published:2013-12-17
  • About author:Chen Jing☆, M.D., Attending physician, Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China 13799439589@139.com

Abstract:

BACKGROUND: Repairing integrity of the dura mater is very important for the prognosis of patients with convex meningioma.
OBJECTIVE: To investigate the application value of bio-artificial dura mater on giant convex meningioma.
METHODS: The retrospective analysis of 56 cases of dural defects due to tumor erosion in patients with giant convex meningioma was carried out. Meanwhile, the clinical efficacy, complications and follow-up results of the repair with artificial dura mater were analyzed.
RESULTS AND CONCLUSION: Except two cases complicated with local effusion, one case with a small volume of subdural effusion in operative side, one case with tardive epidural hematoma, the remaining patients had no cerebrospinal fluid leakage, intracranial infection, epilepsy, tissue rejection and other adverse reactions. Postoperative CT and MR examinations confirmed the site of implantation of artificial dura without abnormal radiographic changes. Five patients underwent cranioplasty of skull repair in 3 months postoperatively, and the intraoperative findings showed that the artificial dura mater had a good fusion with normal dura mater, with no adhesions and inflammatory reactions. These findings indicate that bio-artificial dura mater can reshape the original anatomical level, protect the cerebral cortex, and reduce the incidence of various complications significantly.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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Key words: biocompatible materials, meningioma, dura mater, membranes

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