中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
11期
66-67
,共2页
辛振学%张铁铮%韩培军%刘昆
辛振學%張鐵錚%韓培軍%劉昆
신진학%장철쟁%한배군%류곤
室温%无菌保存%自体骨瓣%颅骨缺损%颅骨修补术
室溫%無菌保存%自體骨瓣%顱骨缺損%顱骨脩補術
실온%무균보존%자체골판%로골결손%로골수보술
Room temperature%Preservation in sterile condition%Self bone flap%Skull defect%Skull Heoplasty
目的 探讨应用室温下无菌保存自体颅骨修补颅骨缺损的治疗效果.方法 对50例颅骨缺损患者应用室温下无菌保存自体颅骨、二期修补颅骨缺损.结果 50例患者切口均甲级愈合,5例并发皮下积液,行穿刺加压包扎后治愈;无继发出血、脑脊液漏、感染、皮瓣缺血坏死、骨瓣外露、癫痫发作等并发症.术后随访12～24个月,50例修补骨瓣固定牢固,外观满意.3例骨瓣边缘局部吸收但无骨瓣塌陷.结论 应用室温下无菌保存自体颅骨修补颅骨缺损是一种安全有效、易于推广的颅骨修补方法.
目的 探討應用室溫下無菌保存自體顱骨脩補顱骨缺損的治療效果.方法 對50例顱骨缺損患者應用室溫下無菌保存自體顱骨、二期脩補顱骨缺損.結果 50例患者切口均甲級愈閤,5例併髮皮下積液,行穿刺加壓包扎後治愈;無繼髮齣血、腦脊液漏、感染、皮瓣缺血壞死、骨瓣外露、癲癇髮作等併髮癥.術後隨訪12～24箇月,50例脩補骨瓣固定牢固,外觀滿意.3例骨瓣邊緣跼部吸收但無骨瓣塌陷.結論 應用室溫下無菌保存自體顱骨脩補顱骨缺損是一種安全有效、易于推廣的顱骨脩補方法.
목적 탐토응용실온하무균보존자체로골수보로골결손적치료효과.방법 대50례로골결손환자응용실온하무균보존자체로골、이기수보로골결손.결과 50례환자절구균갑급유합,5례병발피하적액,행천자가압포찰후치유;무계발출혈、뇌척액루、감염、피판결혈배사、골판외로、전간발작등병발증.술후수방12～24개월,50례수보골판고정뢰고,외관만의.3례골판변연국부흡수단무골판탑함.결론 응용실온하무균보존자체로골수보로골결손시일충안전유효、역우추엄적로골수보방법.
Objective To discuss the application of self bone flap preserved in loom temperature and sterile condition in mending skull defect.Methods50 patients with skull defect underwent secondary repair with cranial bone flap preserved in room temperature and sterile condition.Results All 50 cases had well healing.5 cases complicated with suboutaneous fluid.then cured with pressure dressing after being punctured.No secondary hemorrhage,CSF leakage,infection,ischemia and necrosis of skin flaps,revealed implant,seizure occurred.Observations during up to 12-24 months of post operative follow up revealed that the bone flap was fixed and had a good appearance in 50 patients,and that the edge of bone flap was absorbed locally but wasn't subsided in 3 patients.Conclusion Skull neoplasty with self bone flap preserved in room temperature and sterile condition is a safe,effective and applicable technique.
