钛网修补额颞区颅骨缺损术式比较  

Comparison of Surgical Repair of Skull Defect with Titanium Mesh in Frontal and Temporal Area

作　　者：潘建勋 张占权 赵志宏 马宝瑞 

机构地区：[1]大同煤矿集团有限责任公司总医院老年病科,山西大同037003 [2]山西大同大学附属医院,山西大同037003

出　　处：《山西大同大学学报（自然科学版）》2017年第6期50-51,65,共3页Journal of Shanxi Datong University(Natural Science Edition)

摘　　要：目的从术前准备、手术操作、术后患者愈合等方面,比较颞肌外与颞肌下,2种不同钛网修补额颞区颅骨缺损术优缺点。方法按入院时间将患者随机分类,分别用颞肌下与颞肌外2种不同手术方式修补颅骨缺损,观察患者术后并发症及恢复情况。结果颞肌外组在颞肌萎缩、脑脊液漏、硬膜外及脑内血肿、局部脑挫伤等方面术后发生率均低于颞肌下组。在切口感染、修补物外露松动等方面,与颞肌下组相比无差异。结论和颞肌下术式相比,颞肌外术式具有较少的术后并发症、较为简便的操作,更能为患者康复提供良好的前提条件。Objective he advantages and disadvantages between two surgical repair of skull defect with titanium mesh in frontal and temporal area,extra temporal muscle operation and sub temporal muscle operation,were compared in terms of preoperative preparation,operation,and postoperative healing.Methods The patients were randomly classified according to their admission time,and two different surgical methods were used to repair the skull defect,observing postoperative complications and recovery of patients.Results The incidence of temporal muscle atrophy,cerebrospinal fluid leakage,epidural and intracerebral hematoma,and local cerebral contusion of the extra temporal operation group was lower than that of the sub temporal muscle group.There is no difference between the two groups in incision infection and the release of the patch.Conclusion Compared with the operation under the temporalis,the operation outside temporalis has less postoperative complications and simpler operation,which can provide a good condition for the rehabilitation of the patients.

关 键 词：颞肌外 颞肌下 钛网修补 颅骨缺损 

分 类 号：R628[医药卫生—整形外科]