侧脑室穿刺辅助颅骨修补手术1例  

Lateral Ventricle Puncture Assisted Cranioplasty:A Case Report

作　　者：于涛[1] 王文成 王召平[1] 刘斌[1] YU Tao;WANG Wencheng;WANG Zhaoping;LIU Bin(Department of Neurosurgery,The First People's Hospital of Jining,Jining 272000,China)

机构地区：[1]济宁市第一人民医院神经外科,济宁272000

出　　处：《中国医药指南》2024年第30期179-182,共4页Guide of China Medicine

摘　　要：去骨瓣减压术是治疗重型颅脑损伤、大量脑出血、大面积脑梗死等疾病的有效手段,能减少患者的致死率和致残率,但术后遗留的较大范围的颅骨缺损可导致头痛、癫痫、神经功能减退等一系列临床表现,降低患者的生存质量。颅骨缺损患者常因脑软化灶形成、脑室穿通畸形形成、硬脑膜下积液、脑积水出现脑膨隆情况,导致颅骨修补手术时修补材料置入困难,本例患者通过术中侧脑室穿刺释放脑脊液、缓解脑膨隆后顺利完成颅骨修补手术,为部分脑膨隆的颅骨缺损患者提供新的治疗思路。Decompression craniectomy is an effective method for treating severe traumatic brain injury,massive cerebral hemorrhage,and extensive cerebral infarction,which can reduce the mortality and disability rates of patients.However,the large range of skull defects left after surgery can lead to a series of clinical manifestations such as headache,epilepsy,and neurological dysfunction,reducing the quality of life of patients.Patients with skull defects often have brain swelling due to the formation of encephalomalacia lesion,ventricle perforation deformity,subdural effusion and hydrocephalus,resulting in difficulties in placing repair materials during skull repair surgery.In this case,the patient successfully completed the skull repair operation after releasing cerebrospinalfluid through intraoperative lateral ventricle puncture to relieve brain swelling,which provided a new treatment idea for some patients with skull defect with brain swelling.

关 键 词：侧脑室穿刺 颅脑修补 脑膨隆 

分 类 号：R651.1[医药卫生—外科学]