颞肌下改良术式在标准外伤大骨瓣减压术后颅骨缺损修补中的应用效果  

Application effect of improved temporomandibular operation in repairing skull defect after standard trauma large bone flap decompression

作　　者：杨杰 杨俊博 YANG Jie;YANG Jun-bo(Department of Neurosurgery, the Second People's Hospital of Pingxiang City in Jiangxi Province, Pingxiang 337000,China)

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：《中国当代医药》2018年第33期86-88,共3页China Modern Medicine

摘　　要：目的评价颞肌下改良术式在标准外伤大骨瓣减压术后颅骨缺损修补中的应用效果。方法选取2016年12月～2018年1月在我院接受标准外伤大骨瓣减压术的74例患者作为研究对象,根据随机双盲法分为对照组(37例)与观察组(37例)。对照组接受常规单独颞肌下修补术,观察组接受颞肌下改良术式颞肌解剖复位修补术,比较两组患者的颅骨修补情况,并比较两组患者的手术效果。结果观察组并发症总发生率(13.51%)低于对照组(37.84%),差异有统计学意义(P<0.05);观察组术后主观舒适度不佳总发生率(8.11%)低于对照组(29.73%),差异有统计学意义(P<0.05)。结论在标准外伤大骨瓣减压术后采取颞肌下改良术式,能够提高患者的颅骨修补效果,促使患者术后较快恢复,安全性高,临床价值确切。Objective To evaluate the application effect of improved temporomandibular operation in repairing skull defect after standard traumatic large bone flap decompression.Methods A total of74patients with standard traumatic large bone decompression treated in our hospital from December2016to January2018were selected as the subjects,and divided into the control group(37cases)and the observation group(37cases).The control group received conventional submucosal repair.The observation group received a modified subarachnoid surgery iliac anatomical reduction and repair,and the skull repair of the two groups was compared.The surgical outcomes of the two groups were compared.Results The total incidence of complications in the observation group was13.51%,which was lower than that in the control group(37.84%),and the difference was statistically significant(P<0.05).The total incidence of poor subjective comfort in the observation group was8.11%,which was lower than that in the control group(29.73%),and the difference was statistically significant(P<0.05).Conclusion Under the standard traumatic large bone flap decompression,the improvement of the diaphragm under the diaphragm can improve the repair effect of the patients′skull,prompt the patient to recover quickly,with high safety and clinical value.

关 键 词：标准外伤大骨瓣减压术 颅骨缺损修补 颞肌下改良术式 

分 类 号：R651.11[医药卫生—外科学]