临床神经外科杂志
臨床神經外科雜誌
림상신경외과잡지
JOURNAL OF CLINICAL NEUROSURGERY
2014年
4期
301-302,303
,共3页
张猛%邵柏%颜庆华%丁兴进
張猛%邵柏%顏慶華%丁興進
장맹%소백%안경화%정흥진
颅骨修补%钛网外露%转移皮瓣
顱骨脩補%鈦網外露%轉移皮瓣
로골수보%태망외로%전이피판
cranioplasty%titanium mesh exposure%rotation flap
目的:探讨颅骨修补术后钛网外露的常见原因及治疗方法。方法分析颅骨修补术后钛网外露的原因并根据情况选择给予扩创、缺损皮瓣减张缝合、转移皮瓣缝合等手术,必要时取出修补材料。结果6例患者伤口均痊愈:其中4例保留钛网,2例取除钛网(其中1例半年后再次手术原钛网修复颅骨)。结论对行钛网颅骨修补患者应谨防钛网外露,发生后应及时治疗。
目的:探討顱骨脩補術後鈦網外露的常見原因及治療方法。方法分析顱骨脩補術後鈦網外露的原因併根據情況選擇給予擴創、缺損皮瓣減張縫閤、轉移皮瓣縫閤等手術,必要時取齣脩補材料。結果6例患者傷口均痊愈:其中4例保留鈦網,2例取除鈦網(其中1例半年後再次手術原鈦網脩複顱骨)。結論對行鈦網顱骨脩補患者應謹防鈦網外露,髮生後應及時治療。
목적:탐토로골수보술후태망외로적상견원인급치료방법。방법분석로골수보술후태망외로적원인병근거정황선택급여확창、결손피판감장봉합、전이피판봉합등수술,필요시취출수보재료。결과6례환자상구균전유:기중4례보류태망,2례취제태망(기중1례반년후재차수술원태망수복로골)。결론대행태망로골수보환자응근방태망외로,발생후응급시치료。
Objective To explore the reason , prevention and therapy of titanium mesh exposure after cranioplasty . Methods The reasons of titanium mesh exposure after cranioplasty were studied and some measures such as debridement , relaxation suture and rotation flap were taken correspondingly .Remove titanium mesh if necessary . Results Six patients with titanium mesh exposure were healing after therapy with four patients keeping titanium mesh and two removing it .One of the two patients repaired skull with the primary titanium mesh a year and a half later . Conclusion Much attention should be paid to the prevention of titanium mesh exposure after cranioplasty , measures should be taken for early treatment as soon as the complication occurs .