[1]王忠,苏宁,吴日乐,等.标准大骨瓣减压术后早期离体骨瓣与成形钛网修补颅骨选择的临床分析[J].临床神经外科杂志,2014,(05):360-362.
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标准大骨瓣减压术后早期离体骨瓣与成形钛网修补颅骨选择的临床分析()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2014年05期
页码:
360-362
栏目:
论著
出版日期:
2014-10-31

文章信息/Info

Title:
clinical analysis of early cranioplasty with preserved autologus bone flap computer-assisted design titanium mesh after decompressive standard trauma craniotomy
作者:
王忠 苏宁 吴日乐 张晓军 张仲
内蒙古自治区人民医院
关键词:
标准大骨瓣减压术 颅脑损伤 早期颅骨修补钛网自体骨瓣
Keywords:
decompressive standard large craniectomy craniocerebral trauma early cranioplasty
分类号:
R651.1
文献标志码:
A
摘要:
目的 探讨重度颅脑损伤标准大骨瓣减压术后早期离体骨瓣与成形钛网修补颅骨的临床效果。方法 对我院收治128例大骨瓣减压患者行早期颅骨修补,采用离体骨瓣与成形钛网修补颅骨,探讨早期颅骨修补对去骨瓣减压患者预后的影响。结果 早期颅骨修补使患者的意识及神经系统症状得到了不同程度的改善,并发症主要有感染,皮下积液,骨吸收。结论 对去骨瓣减压术后患者行早期颅骨修补可尽早恢复患者颅腔生理的完整性,提高患者生活质量,钛网修补和自体骨瓣修补各有其优缺点,实际应用中应因人而异,个体选择。
Abstract:
Objective To explore the clinical effect of early cranioplasty with in vitro bone flap and computer-assisted design titanium mesh after standard large trauma craniotomy for severe craniocerebral injury patients. Methods 128 cases of big bone flap decompression in patients with early repair of the skull, the use of in vitro bone flap and titanium mesh cranioplasty, to explore the effect of early repair of the skull to the prognosis of the patients with bone flap decompression. Results Consciousness and neurological deficit of patients in early cranioplasty are different degree of improvement, the postoperative complications included infection, subcutaneous effusion, bone resorption. Conclusion The integrity after decompressive craniectomy in patients with early repair of the skull can early recovery in patients with intracranial physiology, improve the quality of life of patients. Titanium mesh and bone flap for repair of each has its advantages and disadvantages, in actual application the selection of repair material should vary with individual choice.

备注/Memo

备注/Memo:
[收稿日期] 2013-07-10 [基金项目] 内蒙古科技厅项目;内蒙古卫生厅项目
更新日期/Last Update: 2014-10-15