颅骨切除减压术的临床应用进展  

Advancements in the clinical application of craniectomy

作　　者：叶明[1] 煌蒋传路(综述) 张俊和(审校)[1] YE Ming-huang;JIANG Chuan-lu;ZHANG Jun-he(Department of Neurosurgery,the Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学附属第二医院神经外科,哈尔滨150086

出　　处：《中国临床神经外科杂志》2024年第1期42-45,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：神经系统疾病常伴有脑组织肿胀,从而导致颅内压增高。当颅内压增高到药物治疗无效时,手术是一种主流选择,一般采用颅骨切除减压术。颅骨切除减压术为肿胀的脑组织提供了代偿空间,降低了封闭颅腔内的压力。不同疾病导致的颅内压增高病人在颅骨切除减压术中是否需要切除病变脑组织以及皮瓣的设计、头皮下软组织的处理、骨瓣大小和硬脑膜减压要求等尚无统一意见。本文就颅骨切除减压术的临床应用进展进行综述。Neurological diseases are often accompanied by brain swelling,which leads to intracranial hypertension.When intracranial hypertension increases to the point where drug therapy is ineffective,surgery is a main choice,and craniectomy is generally used.Craniectomy provides compensatory space for swollen brain tissues and reduces the pressure in the closed cranial cavity.There is no consensus on whether the damaged brain tissues should be removed,the design of flaps,the treatment of subcutaneous soft tissue,the size of flaps and the requirements for dural decompression in craniectomy for intracranial hypertension caused by different diseases.This article reviews the progress in clinical application of craniectomy.

关 键 词：颅骨切除减压术 颅内压增高 脑水肿 

分 类 号：R651.11[医药卫生—外科学]