数字化成形钛网颅骨修补术的手术技巧探讨  

Surgical technique of the cranioplasty of digital forming titanium mesh

作　　者：白咏 陈涛 薛光[1] 张子焕[1] 蒋晓帆[2] 齐一龙[1] 

机构地区：[1]解放军第123医院神经外科,安徽蚌埠233010 [2]中国人民解放军第四军医大学西京医院神经外科,陕西西安710032

出　　处：《蚌埠医学院学报》2017年第10期1327-1329,共3页Journal of Bengbu Medical College

基　　金：国家自然科学基金项目(81371447)

摘　　要：目的:探讨数字化成形钛网颅骨修补术的手术技巧。方法:回顾性分析2006年3月至2016年3月应用数字化成形钛网治疗202例颅骨缺损病人的临床资料。结果:所有病例恢复良好,复查头颅CT钛网与颅骨均紧密贴合良好,头部外观满意。病人原有神经功能障碍得到改善。202例发生头皮下积液6例,局部感染1例,脑内小血肿2例,术区硬膜外小血肿3例,分流术后病人并发大量硬膜外血肿2例,术后癫痫大发作2例。无钛网外露、松动、变形,无咀嚼疼痛、张口受限等不良反应。结论:提高手术技巧可降低数字化成形钛网颅骨修补术手术并发症。ObjectiveTo explore the surgical technique of the cranioplasty of digital forming titanium mesh. Methods：The clinicaldata of 202 skull defect patients treated with cranioplasty of digital forming titanium mesh were retrospectively analyzed from March2006 to March 2016. Results：All patients recovered well,the head appearance is satisfactory,and the results of CT showed that thetitanium mesh and skull is closely fit. The neurological dysfunction of all patients was significantly improved. The scalp effusion in 6cases,local infection in 1 case,small intracerebral hematoma in 2 cases,preoperative epidural hematoma in 3 cases,a large number ofepidural hematoma after shunt in 2 cases,and postoperative grand mal epilepsy in 2 cases were identified. No titanium mesh exposure,loosening,deformation,chewing pain and mouth restriction in all patients were observed. Conclusions：Improving surgical technique cansignificantly reduce the complications of cranioplasty of digital forming titanium mesh.

关 键 词：颅骨/外科手术 数字化成形钛网 手术技巧 手术并发症 

分 类 号：R651.1[医药卫生—外科学]