CAJ | 학술논문

目的比较颞肌外与颞肌下数字化成型钛网修补额颞区大面积颅骨缺损的治疗效果,探讨最佳手术方式.方法回顾性分析42例数字化成型钛网修补额颞区颅骨缺损的临床资料,按手术方式分为颢肌外组22例,颞肌下组20例.比较两组手术情况(手术时间、失血量、钛钉用量)、术后并发症(刀口感染、皮下积液、癫痫、颅内血肿、咀嚼受限、面瘫)及患者出院1个月后的外形满意度.结果颞肌外钛网组修补的手术时问明显少于颞肌下组(t=2.42,P＜0.05),但外形满意度低于颞肌下组(x2=36.31,P＜0.05),两组术后并发症发生率差异无统计学意义(x2=1.80,P＞0.05).结论颢肌外与颞肌下两种术式各有优缺点.在大面积额颞区颅骨修补术中,应根据患者的具体情况、手术医生的临床经验等因素综合考虑,个体化地选择手术方式.
목적 비교섭기외여섭기하수자화성형태망수보액섭구대면적로골결손적치료효과,탐토최가수술방식.방법 회고성분석42례수자화성형태망수보액섭구로골결손적림상자료,안수술방식분위호기외조22례,섭기하조20례.비교량조수술정황(수술시간、실혈량、태정용량)、술후병발증(도구감염、피하적액、전간、로내혈종、저작수한、면탄)급환자출원1개월후적외형만의도.결과 섭기외태망조수보적수술시문명현소우섭기하조(t=2.42,P＜0.05),단외형만의도저우섭기하조(x2=36.31,P＜0.05),량조술후병발증발생솔차이무통계학의의(x2=1.80,P＞0.05).결론 호기외여섭기하량충술식각유우결점.재대면적액섭구로골수보술중,응근거환자적구체정황、수술의생적림상경험등인소종합고필,개체화지선택수술방식.
Objective To compare the clinical effects of the outside and under temporal muscle titanium cranioplasty in mass frontal-temporal skull defect.Methods Clinical data of forty-two frontal-temporal skull defect pa tients who had cranioplasty with digital forming titanium nets were analyzed retrospectively.Two groups were divided according to the surgical method.Twenty-two cases underwent outside temporal and twenty cases under went temporal muscle titanium mesh.Compared with two groups of surgery condition( operation time,blood loss,titanium nail dos age) and postoperative complications( wound infection,subcutaneous effusion,epilepsy,intracranial hematoma,chew limited,facial paralysis) and the satisfaction rate of appearance discharged after one month.Results The operation time of outside temporal muscle group was obviously less than under temporal muscle group( t =2.42,P ＜ 0.05 ),but the under temporal muscle group patients were more satisfied with the postoperative appearance ( x2 =36.31,P ＜0.05 ).There was no obvious difference of the postoperative complication between the two groups ( x2 =1.80,P ＞0.05 ).Conclusion Both the outside and under temporal muscle method had its advantages and disadvantages.Operation methods selection should comprehensively and individually according to the specific condition of patients,surgi cal doctor's clinical experience.