自体阔筋膜在开颅去骨瓣减压术后迟发性头皮感染治疗中的临床应用  

Clinical application of autologous fascia lata in the treatment of delayed scalp infection after decompressive craniectomy

作　　者：陈华轩 刘毅[1] 张渊 云德波 王林 范润金 CHEN Huaxuan;LIU Yi;ZHANG Yuan;YUN Debo;WANG Lin;FAN Runjin(Department of Neurosurgery,Nanchong Central Hospital (The Second Clinical MedicalCollege of North Sichuan Medical College),Nanchong,Sichuan 637000,China)

机构地区：[1]南充市中心医院(川北医学院第二临床医学院)神经外科,四川南充637000

出　　处：《安徽医药》2019年第6期1157-1159,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨自体阔筋膜治疗开颅去骨瓣减压术后迟发性头皮感染的临床疗效。方法回顾性分析2003年2月至2014年9月南充市中心医院神经外科收治的21例开颅去骨瓣减压术后迟发性头皮感染病人的临床资料,头皮及皮下组织彻底清创,均取出人工硬脑膜,然后用自体阔筋膜修补硬脑膜。结果 21例病人感染处头皮I期愈合,术后随访12个月,无头皮感染、癫痫、脑脊液漏、皮下积液,无头皮坏死、破溃、溢液等并发症。结论开颅去骨瓣减压术后迟发性头皮感染难以保留人工硬脑膜修复皮瓣,可取出人工硬脑膜后用自体阔筋膜修补硬脑膜,临床效果好。Objective To investigate the clinical curative effects of autologous fascia lata in treating delayed scalp infection after decompressive craniectomy.Methods The clinical data of 21 patients with delayed scalp infection after decompressive craniectomy treated in the Department of Neurosurgery,Nanchong Central Hospital from February 2003 to September 2014 were retrospectively analyzed.The scalp and subcutaneous tissues were debrided completely.The artificial endocranium was removed and repaired with autologous fascia lata.Results Infected scalp of all cases were healing by first intention.Post-surgical 12-month follow-up found no complications such as scalp infection,epilepsy,cerebrospinal fluid leakage,subcutaneous fluid,scalp necrosis,scalp ulceration and scalp discharge in any of the cases.Conclusion It is difficult to retain the artificial endocranium and repair local flap in the delayed scalp infection.The method of repairing endocranium with autologous fascia lata after removing the artificial endocranium is effective,and the outcomes are satisfying.

关 键 词：自体阔筋膜 去骨瓣减压术 迟发性头皮感染 治疗 

分 类 号：R651.1[医药卫生—外科学]