薄层颞肌外钛网板颅骨修补术的临床研究  

Clinical stduy of thin layer outside the temporalis titanium mesh repair of skull

作　　者：邱乃锡 罗家扬 柯胜蓝 赵义 

机构地区：[1]广东省汕尾市海丰县澎湃纪念医院颅脑科,广东汕尾516400

出　　处：《吉林医学》2015年第7期1310-1312,共3页Jilin Medical Journal

摘　　要：目的:研究薄层颞肌外钛网板颅骨修补术的临床价值。方法:选择收治颅骨缺损的患者进行研究,随机分为观察组和对照组。观察组(45例)采取保留硬脑膜侧薄层颞肌的方法,对照组(46例)采取完全剥离硬脑膜侧的颞肌。比较两种不同治疗方法的治疗效果以及并发症情况(包括皮下刺痛、感染、癫痫等)。结果:观察组的恢复良好的比率为84.4%,而对照组为21.7%,两者比较,差异有统计学意义(χ2=35.884 8,P<0.000 1)。观察组皮下刺痛、感染以及癫痫的发病比率均低于对照组(P<0.05);观察组发生并发症比率为17.7%,而对照组为50%,两组比较,差异有统计学意义(χ2=10.515 0,P=0.001 2)。结论:薄层颞肌外钛网板颅骨修补术的能使患者的治疗取得更好的临床效果,值得临床上加以应用。Objective To study the clinical value of bone repair by the thin layer of titanium mesh plate outside temporal muscle. Method The patients with skull defect were studied,they were randomly divided into observation group and control group. Observation group（ 45 cases） retained the dura mater side a thin layer of temporalis method,the control group（ 46 cases） took a completely stripping dura lateral temporal muscle. Comparison of two different treatment methods of therapeutic effect and complications（ including subcutaneous stabbing pain,infection,epilepsy,etc.）. Results Good recovery rate of observation group was 84. 4%,while the control group was 21. 7%,the difference was statistically（ χ^2= 35. 884 8,P 〈0. 000 1）. Observation group of subcutaneous sting,the incidence rate of infection and epilepsy were lower than control group（ P 〈0. 05）; Observation group complications rate was 17. 7%,while the control group was 50%,comparing the two groups have statistical significance（ χ^2= 10. 515 0,P = 0. 001 2）. Conclusion Thin layer of titanium mesh plate outside temporal muscle skull repair surgery can make the treatment of patients with better clinical effect,worthy of clinical application.

关 键 词：薄层颞肌 外钛网板 颅骨修补术 

分 类 号：R651.1[医药卫生—外科学]