摘要
目的 探讨外伤性颅骨缺损后颅骨修补术的适应证、材料选择、手术时机、手术技巧以及术后并发症的防治。方法 对 1996年 2月至 2 0 0 0年 1月北京天坛医院神经外科收治的 136例外伤性颅骨修补术患者的资料进行回顾性分析。结果 外伤性颅骨缺损修补面积最大。分别选用进口钛板 6 8例 ,硅胶 4 1例 ,自体骨 2 4例 ,有机玻璃 2例 ,同种异体骨 1例。手术方法有镶嵌法和覆盖法两种。术后无死亡病例。 33例出现不同程度的积液、感染、癫痫、修补物松动等并发症 ,发生率为 2 4 .3%。结论 直径 >3cm的颅骨缺损 ,均应考虑行颅骨修补术。一般外伤性颅骨缺损 ,可在
Objective To explore the indication,materials selection,surgical opportunity,surgical skills and prevention of post operative complications in the treatment of traumatic skull defects.Methods 136 cases of traumatic skull defect from 1996 to 2000 were enrolled our study.The surgical results were analyzed and series of literatures were reviewed.Results Among these 136 cases,there were 155 male and 21 female,the mean age was 32.5 years old.The time which the cranioplasty was performed ranged from 3 months to 12 years after injury.The import titanium was used in 68 cases,silica gel in 41 cases,autologous bone in 24 cases,methacrylate in 2 and homologous bone in 1.No operative mortality was seen.The common complications such as infection and seizure were found in 33 cases (24.3%).Conclusions Cranioplasty should be performed for those skull defect with a size in diameter larger than 3cm.The surgery occasion is at least 3 months after injury.The materials in common use are autologous bone and titanium.
出处
《北京医学》
CAS
北大核心
2003年第5期301-302,共2页
Beijing Medical Journal
