CAJ | 학술논문

目的观察可吸收固定系统在儿童后颅窝肿瘤开颅手术骨瓣复位固定中的作用.方法对15例7个月～14岁开颅游离骨瓣成形切除颅内病变后需骨瓣复位固定的患儿,采用可吸收固定系统材料进行骨瓣复位固定,观察术后局部伤口及骨瓣复位和全身情况变化.结果所有患儿术后1周CT复查显示骨瓣复位良好,无伤口红肿、疼痛和感染发生；1例皮下少量积液,经穿刺抽吸和加压包扎1周内消失.随访3～23个月,平均随访10.25个月,患儿术后切口恢复良好,外观正常,无发热、局部凹陷及红肿等异常表现,CT或MRI扫描均无塌陷、移位及伪影表现.结论近期观察结果显示在儿童后颅窝肿瘤开颅手术应用可吸收固定系统材料进行骨瓣复位周定简单安全,固定可靠,且能消除术后CT或MRI复查时金属固定材料导致的伪影.
목적 관찰가흡수고정계통재인동후로와종류개로수술골판복위고정중적작용.방법 대15례7개월～14세개로유리골판성형절제로내병변후수골판복위고정적환인,채용가흡수고정계통재료진행골판복위고정,관찰술후국부상구급골판복위화전신정황변화.결과 소유환인술후1주CT복사현시골판복위량호,무상구홍종、동통화감염발생；1례피하소량적액,경천자추흡화가압포찰1주내소실.수방3～23개월,평균수방10.25개월,환인술후절구회복량호,외관정상,무발열、국부요함급홍종등이상표현,CT혹MRI소묘균무탑함、이위급위영표현.결론 근기관찰결과현시재인동후로와종류개로수술응용가흡수고정계통재료진행골판복위주정간단안전,고정가고,차능소제술후CT혹MRI복사시금속고정재료도치적위영.
Objective To study the safety and efficacy of bioabsorbable fixation system for repositioning of cranial bone flaps after posterior fossa craniotomy in children.Methods From July 2010 to March 2012,15 patients with posterior fossa tumor underwent surgery in this institute.Bioabsorbable fixation system was used to reposition cranial bone flaps.After surgery,the healing of surgical incisions and recovery conditions were observed and retrospectively analyzed.Results After operation,no pain,infection,redness and swelling of surgical incision was observed.CT or MRI scan showed good positioning of cranial bone flap after operation.Small amounts of subcutaneous hydrops occurred on 1 patient and disappeared after 1 weeks' paracentesis and pressure dressing at the puncture site.All patients were followed up for 3 to 20 months,with a mean duration of 10.25 months.All patients’ surgical incisions healed well with a good appearance.CT and MRI scans showed good positioning of cranial bone flap without subside,displacement or artifacts.Conclusions This study suggests it is safe and effective to reposition of cranial bone flaps using bioabsorbable fixation system after posterior fossa craniotomy in children.