CAJ | 학술논문

颅骨缺损为神经外科去骨瓣减压术常见的后遗症，多继发于重型颅脑损伤、高血压脑出血、颅内动脉瘤破裂大量出血、大面积脑梗死等需行开颅及去骨瓣减压术术后。为促进患者康复，一般于去骨瓣减压术后数周或数月内行颅骨修补。然而，如修补术后继发感染、或者采用钛网修补出现钛网外露等情况，即宣告该类手术失败，为患者带来更大的痛苦及额外的家庭经济负担。本文对颅骨修补术后感染的相关因素进行分析，并对如何预防术后感染进行讨论。
로골결손위신경외과거골판감압술상견적후유증，다계발우중형로뇌손상、고혈압뇌출혈、로내동맥류파렬대량출혈、대면적뇌경사등수행개로급거골판감압술술후。위촉진환자강복，일반우거골판감압술후수주혹수월내행로골수보。연이，여수보술후계발감염、혹자채용태망수보출현태망외로등정황，즉선고해류수술실패，위환자대래경대적통고급액외적가정경제부담。본문대로골수보술후감염적상관인소진행분석，병대여하예방술후감염진행토론。
Skull defect, one of the most common sequela in neurosurgery, mainly results from severe trau-matic brain injury,hypertensive intracerebral hemorrhage, ruptured intracranial aneurysm and massive brain infarc-tion.Cranioplasty,which is helpful for the recovery of patients, is most commonly performed some weeks or months after the procedure.However,a failed procedure,such as secondary infection,titanium mesh exposure would lead to more pain for patients and additional financial burden to the family. The purpose of this review is to summarize the reasons and the corresponding preventive steps of cranioplasty infection on the basis of extensive literatures.