摘要
目的探讨颅骨成形术的适应证、手术时机、手术技巧和并发症的防治。方法对137例接受颅骨成形术患者的临床资料进行回顾性分析。结果采用嵌入性修补材料(骨水泥)52例,覆盖性修补材料(钛网)85例。89．8%(123例)的患者认为塑形满意。术后并发症包括：皮下积液27例、材料外露3例、感染2例和材料松动移位3例。钛网并发症发生率明显低于骨水泥(P＜0．05)。结论对于颅盖骨缺损直径≥3cm、颅骨缺损时间2～3个月后可进行手术；颅内外沟通瘤的颅底骨缺损者可在肿瘤切除后进行修补,应注重相应的围手术期处理与手术技巧。
Objective To explore cranioplasty-related indications, operation time, surgical skills and prevention of complications after eranioplasty. Methods The data of 137 cases treated with cranioplasty were retrospectively analyzed. Results Bone cement was used for 52 cases to fill the bone defects, and in the other 85 cases titanium mesh was used to cover the bone defects. Excellent cosmetic results were obtained in 123 of the 137 cases （89.8%）. Postoperative complications were as follows：collection of fluid under the scalp was found in 27 cases, exposure of the material occurred in 3 cases, infection occurred in 2 cases, and loosening and displacement of the material occurred in 3 cases. The inci- dence of complications was significantly different between bone cement and titanium mesh （P 〈 0.05 ）. Conclusion Patients with skullcap defect ≥3 cm in diameter can be operated on three months after skullcap defect. Titanium mesh is better for cranioplasty for its simplicity and less complications than bone cement. Excellent material and improved surgical skills can decrease the incidence of complications after cranioplasty.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2006年第10期731-733,共3页
Chinese Journal of Trauma
