CAJ | 학술논문

目的研究深低温保存的颅骨瓣自体回植后的临床效果.方法颅脑创伤术后病人71例,高血压脑出血术后病人7例,腩肿瘤术后病人5例,脑动脉瘤术后病人3例,γ-刀术后去骨瓣减压病人3例.将手术取出的不带骨膜的游离骨瓣,经过处理后在深低温下保存,桦期行骨瓣回植.结果所有病人均无排异反应和感染发生.79例顺利治愈,10例病人出现皮下积液,3例病人出现修补的颅骨凹陷.5例儿童病人术后骨愈合好,骨瓣与头颅同步增大,末出现颅骨发育异常.结论深低温保存的自体颅骨瓣原位回植可以在最大程度上接近正常颅骨,保持颅骨的各种功能.
목적 연구심저온보존적로골판자체회식후적림상효과.방법 로뇌창상술후병인71례,고혈압뇌출혈술후병인7례,남종류술후병인5례,뇌동맥류술후병인3례,γ-도술후거골판감압병인3례.장수술취출적불대골막적유리골판,경과처리후재심저온하보존,화기행골판회식.결과 소유병인균무배이반응화감염발생.79례순리치유,10례병인출현피하적액,3례병인출현수보적로골요함.5례인동병인술후골유합호,골판여두로동보증대,말출현로골발육이상.결론 심저온보존적자체로골판원위회식가이재최대정도상접근정상로골,보지로골적각충공능.
Objective This study examines the clinical effects of transplantation of the skull bone autograft after cryopreservation. Method The study group consisted of 89 patients. There are 51 cases males and 38 cases females in the gruup. 71 craniocerebral injury,7 hypertensive intracerebral hemorrhage,5 brain tumer,3 aneurysm and 3 post γ-knife therapy patients. We preserved their skull bone flaps without periosteum at a low temperature and transplanted them back at a suitable time. Results None of the eases experienced rejection and intection. 79 cases were heal, subcutaneous effusion developed in 10 cases. Bone flaps were depressed in 3 and 3 cases who had seizure disorder prior to the repair improved after the surgery. In follow-up studies, all patients' skull curvature recovered well after the repair surgery. The resistance topressure locally at the repair site was very good. X-ray, CT and ECT studies also proved that all the flaps had healed well without any sign of necrosis. Conclusions The transplantation of a patient's own bone flap after cryopreservation is close to the normal skull and is superior to other material.