颅脑损伤后颅骨成形及相关问题分析  

Cranioplasty and analysis of related problems after craniocerebral trauma

作　　者：雷鹏[1] 钱洪松[1] 翁潮弟[1] 王钰[1] 武弋[1] 荔志云[1] 周杰[1] 田立桩[1] 季玮[1] 

机构地区：[1]兰州军区总医院神经外科,兰州730050

出　　处：《中华创伤杂志》2006年第10期725-727,共3页Chinese Journal of Trauma

摘　　要：目的研究分析颅骨成形术修复材料选择、手术操作注意点及并发症防治。方法对226例患者实施颅骨成形术,分别选用自体颅骨和不同人工材料作为修复材料。术中注意勿损伤硬膜、并行硬膜悬吊,术毕需在头皮下放置引流。结果手术后146例(64．6%)临床症状及神经缺失有不同程度改善。手术并发症主要为术区感染、皮下积液及术区血肿。随访中有修复材料塌陷移位。结论对颅骨缺损及时修复不仅解决美观问题,而且能够在一定程度上改善患者临床症状。术后并发症发生与修复材料及术中不良操作有关。Objective To analyze the choice of implant materials , key points of operative procedures, prevention and management of postoperative complications in patients treated with cranioplasty. Methods Two hundred and twenty six patients with craniocerebral trauma underwent cranioplasty with different implant materials. Attention should be paid for the purpose of not tearing or injuring the dura mater during operation. To take the dura mater up to the implant material and the edge of the bone flap, and put drainage under the scalp flap before closure of the incision. Results The clinical symptoms and neural function were improved in 146 （ 64.6% ） patients postoperatively . Postoperative complications mainly were infection, fluid collection and hematoma in the operative region. Follow-up showed the occurrence of displacement or collapse of the implant materials in some patients. Conclusion Timely cranioplasty can not only resolve cosmetic problems but also improve clinical symptoms and neural function. The causes of postoperative complications are mainly related with the operative procedures and the materials used.

关 键 词：脑损伤 颅骨骨折 骨代用品 颅骨成形术 

分 类 号：R651.1[医药卫生—外科学]