文档介绍：钛金属网板修补颅骨缺损35例临床分析
作者:郑广顺,徐志纯,郭金陶,马书伟
【摘要】目的探讨钛金属网板修补颅骨缺损的效果及方法。方法所有患者手术在全麻下进行,缺损的颅骨用钛金属网板修补,术后皮下置负压引流管防止皮下积血、积液,48 h内拔除引流管。结果 35例颅骨缺损致头颅外观畸形均较好修复,无并发症发生。二维钛网硬度大,适合较大颅骨缺损修补,三维钛网容易塑形,适合中等大小颅骨缺损修补。结论采用钛金属网板修补颅骨缺损手术,手术操作简便,创伤小,只要掌握好手术指征,选择合适型号及规格的钛网可取得良好的效果。
【关键词】钛金属网板;颅骨缺损;颅骨修补术
Abstract: Objective To explore the clinical application effect and methods in the treatment of skull defect. Methods About 35 cases who were performed cranioplasty with titanium mesh were reviewed retrospectively. Results All 35 cases were treated essfully in one time with satisfied appearance and plications appeared. Conclusion The titanium alloy mesh is the best material in cranioplasty for its simplicity,
plication, and excellent effect. 2dimensional mesh is hardness and fit the bigger skull defect,3dimensional mesh is moulded easily to fit the smaller and middle skull defect. The good effects and plications are mainly related to the indication and the suitable titanium alloy mesh.
Keywords: titanium alloy; skull defect; cranioplasty
颅骨缺损是由于颅脑损伤和脑出血、脑肿瘤等手术引起,使患者外貌发生变化并使颅骨的防御功能缺失,引起一系列精神症状,导致患者出现颅骨缺损综合征,故多需进行颅骨修补[12]。我院神经外科从2005年10月至2008年7月采用二维及三维钛网为35例患者进行颅骨缺损修补,取得了满意的效果。现报告如下。
1 资料与方法
临床资料
本组患者35例,其中男24例,女11例;年龄16~75岁,平均48岁。颅骨缺损原因:颅脑创伤手术33例,脑出血手术2例。颅骨缺损部位:额颞顶部30例,额眶部2例,颞部3例。颅骨缺损面积最小4 cm×5 cm,最大11 cm×17 cm。
手术方法
颅骨缺损大小为(12 cm×15 cm)~(14 cm×17 cm)的患者行头部螺旋CT薄层扫描,将计算机数据提