自体颅骨瓣帽状腱膜下埋藏牵拉复位术的临床应用研究  

Clinical Study on Transplantation and Traction and Reposition with Autologous Skull Flap under Epicranial Aponeurosis

作　　者：袁晓兵 杨杰 陈小萍 易宇光 李金亮 

机构地区：[1]江西省萍乡市第二人民医院神经外科,江西萍乡337000

出　　处：《赣南医学院学报》2011年第6期701-702,共2页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨自体颅骨瓣早期牵拉复位在修复颅骨缺损中的临床效果。方法:对121例颅脑手术需行去骨瓣减压者,游离颅骨瓣,将颅骨瓣埋藏于骨窗边的帽状腱膜下,2周内脑水肿减退后,牵拉预先固定于颅骨瓣的丝线,将颅骨瓣复位于骨窗。结果:121例病人均一次复位成功,无1例切口感染,无并发牵拉部位血肿,颅骨瓣复位良好,头颅外形如常。结论:采用自体颅骨瓣帽状腱膜下埋藏牵拉复位术是早期修复颅骨缺损的理想方法。Objective： To investigate the clinical effect of traction and reposition with autologous skull flap in repairing cra- nium defects at the early stage. Methods：121patients needed decompressive craniectomy were included in this study, we separated the sutl flap and buried it under the epicranial aponeurosis. 2 weeks after surgery , when cephaledcma de- creased to normal, the skull flap was pulled by the thread which fixed in advance to original place. Results：The skull flaps in 121 cases were replaced successfully for the first time without infection and hematoma in operative area postopera- tively, showing the good results with skull flap reposition and normal skull appearance. Conclusion：The result shows that transplantation and traction and reposition with autologous skull flap under Epieranial Aponeurosis is effective in repairing cranium defects at the early stage.

关 键 词：颅骨瓣 帽状腱膜下 牵拉复位术 颅骨缺损 

分 类 号：R651.11[医药卫生—外科学]