颅骨缺损的部位和大小与神经症状的关系  

The Relationship Between the Size and Location of Cranial Defect and Neurological Symptoms

作　　者：庄会林 柳宪华 施鹏[1] 孙光远[1] 

机构地区：[1]江苏省徐州市第三人民医院,江苏徐州221005

出　　处：《中国医师杂志》2002年第11期1222-1224,共3页Journal of Chinese Physician

摘　　要：目的　探讨颅骨缺损的部位和大小对患者的影响。方法　根据颅骨修补前体位变化对神经症状的影响及修补前后症状的改变 ,将本组病人分为完全颅骨缺损综合症 (Ⅰ )、部分颅骨缺损综合症 (Ⅱ )、其他有症状者或无症状者 (Ⅲ )三组 ,分析各组病例数与颅骨缺损的部位及大小的关系。结果　Ⅰ组 33例 ,骨缺损位于枕顶2 3例 ,额顶 10例 ,缺损区皮瓣松弛 ,直立时凹陷。Ⅱ组 7例 ,骨缺损位于额顶和枕顶各 3例 ,缺损区皮瓣松弛 ,直立时凹陷。Ⅲ组 12例 ,骨缺损多位于颞部或枕下 ,缺损区皮瓣平坦或僵硬。结论　颅骨缺损部位及大小在神经症状的形成中起重要作用。Objective To probe the effects of the size and location of cranial defect on the neurological symptoms of patients with skull bone defect.Methods The patients were classified into the following groups according to the influence to symptoms by changes in body position and changes of symptoms before and after craniectomy: True syndrome of the trephined(ST,Ⅰ), partial ST patients(Ⅱ), other patients or symptom-free patients (Ⅲ).Results The group I consisted of 33 cases, their defects were located in the parieto-occipital region in 23 cases, frontoparietal in 10 cases. All these patients had flaccid skin flaps that became concave while in the upright position. The group Ⅱ was composed of seven cases, their defects were located in frontoparietal and parieto-occipital region in three respectively. All these patients had flaccied skinflap in defects pars.Group Ⅲ included twelve patients, flat and rigid skin flaps were usually demonstrated , predominantly in the tempora and parietal regions.Conclusions The size and location of the cranial could play an important role in the development of the neurological symptoms.

关 键 词：颅骨缺损 颅骨修补成形术 神经症状 缺损部位 

分 类 号：R651.11[医药卫生—外科学]