硅橡胶涤纶丝网用于颅骨修补术后头皮下积液特点  

Hydrops of subcutaneous scalp after repairing skull defect using silicon-polyester fiber network

作　　者：张奕标 杨振九 颜杰浩 宋伟健 

机构地区：[1]深圳市南山人民医院神经外科,广东省深圳市518052

出　　处：《中国组织工程研究与临床康复》2007年第13期2563-2563,2565,共2页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：为了解硅橡胶涤纶丝网用于颅骨修补术后出现头皮下积液的原因及特点,收集深圳市南山人民医院神经外科1996-06/2000-10用硅橡胶涤纶丝网行颅骨修补患者91例的资料,发现术后出现头皮下积液56例,其中积液量小于20mL者11例,20～50mL27例,大于50mL18例。通过抽除积液,加压包扎等处理后,4周内均痊愈,术后平均随访6周,皮下积液未见复发。结果提示使用硅橡胶涤纶丝网行颅骨修补术,出现头皮下积液的病例较多,经引流处理后预后较好,可做为颅骨修补的一种选择。To analyze the cause and therapy of hydrops in subcutaneous scalp after repairing skull defect by using silicon-polyester fiber network, a total of 91 patients who were treated with sUicon-polyester fiber network to repair skull defect from June 1996 to October 2000 in the Department of Neurosurgery, Nanshan People＇s Hospital were analyzed retrospectively. And 56 cases of them had hydrops of subcutaneous scalp and treated with suction and pressure dressing, including 11 cases of less than 20 mL hydrop quantity, 27 cases of 20-50 mL, and 18 cases of more than 50 mL. They were observed for 6 weeks averagely after operation and were healed within 4 weeks by simple management. No recurrence of hydrops was found in subcutaneous scalp. It is indicated that silicon-polyester fiber network in repair of skull defect may complicate with hydrops of subcutaneous scalp usually. However, the prognosis will be good by means of drainage, so it can be used as a therapy for skull defect.

关 键 词：颅骨缺损 修补 硅橡胶涤纶丝网 头皮下积液 

分 类 号：R651.11[医药卫生—外科学]