颅骨成形术后钛网外露预防和创面修复全国专家共识(2024版)  

National expert consensus on the prevention and wound repair of titanium mesh exposure after cranioplasty(2024 edition)

作　　者：中国医师协会创面修复专业委员会 张丕红[2] 付小兵[3] 黄跃生 黄晓元[2] Wound Repair Professional Committee of Chinese Medical Doctor Association;Zhang Pihong;Fu Xiaobing;Huang Yuesheng(不详;Department of Burn and Plastic Surgery,Xiangya Hospital,Central South University,Changsha 410008,China;Research Center for Wound Repair and Tissue Regeneration,Medical Innovation Research Department,the PLA General Hospital,Beijing 100853,China;Department of Wound Repair,Southern University of Science and Technology Hospital,Institute of Wound Repair and Regenerative Medicine,Southern University of Science and Technology School of Medicine,Shenzhen 518055,China)

机构地区：[1]不详 [2]中南大学湘雅医院烧伤整形外科,长沙410008 [3]解放军总医院医学创新研究部创伤修复与组织再生研究中心,北京100853 [4]南方科技大学医院创面修复科南方科技大学医学院创面修复与再生医学研究所,深圳518055

出　　处：《中华烧伤与创面修复杂志》2024年第10期901-910,共10页Chinese Journal of Burns And Wounds

基　　金：国家自然科学基金面上项目(81772084)。

摘　　要：颅骨成形术后发生的钛网外露是该术式最严重的并发症,尽管多年来临床上逐渐积累了一些针对钛网外露的诊治经验,但由于对其发生机制和并发感染的认识不足,治疗往往欠规范,难以达到令人满意的修复效果。为规范颅骨成形术后钛网外露创面的诊治,改善其治疗效果和患者生存质量,中国医师协会创面修复专业委员会组织专家讨论,基于国内外颅骨成形术后钛网外露创面的文献资料和诊疗现状,在颅骨成形术后钛网外露的发生机制、预防措施与诊治策略等方面达成了共识,以供相关临床医师参考。Titanium mesh exposure after cranioplasty is the most serious complication of this procedure.Although some clinical experience has been gradually accumulated over the years in the diagnosis and treatment of titanium mesh exposure,the treatment is often not standardized and it is difficult to achieve satisfactory repair results due to insufficient understanding of its pathogenesis and concurrent infections.To normalize the diagnosis and treatment of titanium mesh exposed wounds after cranioplasty and improve the therapeutic effect and the quality of life of patients,the Wound Repair Professional Committee of Chinese Medical Doctor Association organized an expert discussion based on the literature and current diagnosis and treatment status of titanium mesh exposed wounds after cranioplasty at home and abroad,and reached a consensus on the pathogenesis,preventive measures,and diagnosis and treatment strategies of titanium mesh exposed wounds after cranioplasty to provide reference for relevant clinicians.

关 键 词：头部损伤 穿透性 手术后并发症 外科皮瓣 颅骨成形术 钛网外露 创面修复 专家共识 

分 类 号：R651.1[医药卫生—外科学]