骨瓣皮瓣多点缝合内固定预防开颅术后头皮下积液的临床研究  

Clinical study on the prevention of subscalp effusion after craniotomy by multipoint suture internal fixation with bone or skin flap

作　　者：周开甲[1] 张鸣[1] 刘伯伟[1] 郑宗清[1] Zhou Kaijia;Zhang Ming;Liu Bowei;Zheng Zongqing(Department of Neuro-Oneology Surgery,Fujian Provincial Cancer Hospital,The Affiliated Cancer Hospital of Fujian Medical University,Fujian Fuzhou 350014,China.)

机构地区：[1]福建省肿瘤医院福建医科大学附属肿瘤医院神经肿瘤外科,福建福州350014

出　　处：《现代肿瘤医学》2018年第20期3210-3212,共3页Journal of Modern Oncology

摘　　要：目的:探讨骨瓣皮瓣多点缝合内固定预防开颅术后头皮下积液的临床效果。方法:将2014年10月至2017年10月于我院行开颅手术的164例患者,随机分为两组,对照组85例采用传统关颅缝合方法,治疗组79例在此基础上加用骨瓣皮瓣多点缝合内固定法。对比观察两组术后皮下积液发生率及皮瓣坏死率。结果:术后治疗组无1例发生皮下积液,较对照组明显优越(P<0.05),尤其在顶叶占位开颅术后及颅内病变放疗再开颅术后、二次开颅术后患者中。两组皮瓣坏死发生率均为0(P>0.05)。结论:在关颅过程中采用骨瓣皮瓣多点缝合内固定可明显减少开颅术后头皮下积液的发生。Objective：To explore the clinical effect of multipoint suture internal fixation of bone flap on the pre-vention of subscalp effusion after craniotomy. Methods：From October 2014 to October 2017,164 patients with crani-otomy in our hospital were randomly divided into two groups ,85 cases in the control group were treated by traditional craniotomy and 79 cases in the treatment group. The incidence of subcutaneous effusion and the necrosis rate of skin flap were compared between the two groups. Results：There was no case of subcutaneous effusion in the treatment group, which was significantly superior to that in the control group （P 〈 0.05 ） , especially after the parietal space occu-pying surgery and intracranial lesions after craniotomy and two craniotomy. The necrosis rate of the two groups was 0 （P 〉 0.05）. Conclusion：In the process of craniotomy, the use of bone flap multipoint suture internal fixation can ob-viously reduce the occurrence of subscalp effusion after craniotomy.

关 键 词：开颅手术 术后并发症 皮下积液 

分 类 号：R730.56[医药卫生—肿瘤]