摘要
目的:探讨标准大骨瓣减压术后应用数字成型三维钛网行颞肌下或颞肌外颅骨修补的特点。方法:回顾分析我科107例行标准大骨瓣减压术后2～5个月应用数字成型三维钛网行颞肌下(55例)或颞肌外(52例)颅骨修补术后的临床资料,根据手术时间、出血量等手术情况,术后皮下积液、感染、术后出血、钛网松动等术后并发症,外观异常、疼痛、咀嚼受限等术后病人主观舒适度的情况进行多方面的比较。结果:两种修补方式在手术时间和出血量方面无明显差异;颞肌外组术后并发症明显多于颞肌下组;术后舒适度方面,颞肌下组优于颞肌外组。结论:应用数字成型三维钛网行颞肌下修补更接近生理结构,术后病人满意度高,功能恢复满意,较颞肌外组更符合临床要求。
Objective：To investigate the characters of skull osteoplasty under temporalis/outside temporalis by employing digital 3D titanium fiber mesh after standard large trauma craniotomy.Methods：Clinical data of 107 cases of skull osteoplasty under temporal muscle（55）/outside temporal muscle（52）by employing digital 3D titanium fiber mesh after 2~5 months postoperation were retrospectively analyzed,and compared according to operation condition（time,hemorrhage volume）,postoperative complications（postoperative subcutaneous hydrops,infection,postoperative hemorrhage,titanium mesh loosening）,and the postoperative subjective comfort level of the patients（shape abnormality,pain,chewing limitation）.Results：The two operation methods had no obvious difference in operation time/hemorrhage volume.The outside temporalis group had obvious difference in postoperative complications（P〈0.05）.The under temporalis group were better than outside temporalis group in postoperative comfort level.Conclusion：The under temporalis skull osteoplasty by employing digital 3D titanium fiber mesh agrees more with the physiological structure,and has better functional recovery and higher patient satisfaction,so it better meets the clinical de.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2011年第9期1132-1134,共3页
Journal of Chongqing Medical University
基金
重庆市医疗特色专科资助项目(编号:渝卫科教2010-52)
关键词
颞肌下颅骨修补术
颞肌外颅骨修补术
术式比较
under temporalis skull osteoplasty
outside temporalis skull osteoplasty
operation type comparison
