CAJ | 학술논문

目的探讨保留薄层颞肌的数字化塑形钛网板修补颅骨缺损的手术效果。方法将98例颅骨修补患者分成两组，各49例。对照组采取完全剥离硬脑膜侧的颞肌，观察组采取保留硬脑膜侧薄层颞肌的方法。通过对术后患者伤口愈合、外形满意度、皮下刺痛感、皮下积液、头皮坏死、感染、脑挫裂伤、出血及癫痫并发症发生情况，分析判断两组的疗效。结果<br>　　观察组治疗后良好率为83．7％，高于对照组的4．1％（ P ＜0．01）。观察组并发症发生率6．1％，低于对照组的59．2％（ P ＜0．01）。结论钛网颅骨修补时，保留硬脑膜侧薄层颞肌可减少术后并发症，提高治疗效果。
목적탐토보류박층섭기적수자화소형태망판수보로골결손적수술효과。방법장98례로골수보환자분성량조，각49례。대조조채취완전박리경뇌막측적섭기，관찰조채취보류경뇌막측박층섭기적방법。통과대술후환자상구유합、외형만의도、피하자통감、피하적액、두피배사、감염、뇌좌렬상、출혈급전간병발증발생정황，분석판단량조적료효。결과<br>　　관찰조치료후량호솔위83．7％，고우대조조적4．1％（ P ＜0．01）。관찰조병발증발생솔6．1％，저우대조조적59．2％（ P ＜0．01）。결론태망로골수보시，보류경뇌막측박층섭기가감소술후병발증，제고치료효과。
Objective To discuss the surgical effect of digitized shaping titanium mesh plate with the retention of thin tempo-ral muscle in cranioplasty.Methods Clinical data of 98 cases of cranioplasty divided into two groups ( n =49,each) were analyzed. Completely stripped temporalis muscles from dural side was the control group and thin temporal muscle retention on dural side was the observation group.The postoperative appearance satisfaction ,tingling skin,subcutaneous effusion,scalp necrosis,infection,brain contu-sion,hemorrhage and epilepsy complications were analyzed and the clinical efficacy of two groups was compared .Results Shape satis-faction rate of observation group was 83.7%,higher than 4.1%of the control group( P <0.01).The complication rate of the observa-tion group was 6.1%,lower than 59.2%of the control group( P <0.01).Conclusion Thin temporal muscle retention is an effective surgical approach to reduce postoperative complications and improve the therapeutic effect .