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钛网修补额颞区颅骨缺损术式效果比较
引用本文:彭智,刘彦廷,肖宁,冯定坤,艾文兵,陈玉宏. 钛网修补额颞区颅骨缺损术式效果比较[J]. 实用临床医学(江西), 2011, 12(1): 30-32
作者姓名:彭智  刘彦廷  肖宁  冯定坤  艾文兵  陈玉宏
作者单位:三峡大学仁和医院神经外科,湖北,宜昌,443001
摘    要:
目的 比较颞肌外与颞肌下2种不同钛网修补额颞区颅骨缺损术的优缺点.方法 将144例颅骨缺损患者按入院时间分为2组,颞肌外组(n=69)和颞肌下组(n=75).分别采用颞肌下与颞肌外2种不同手术方式修补颅骨缺损,观察患者术后恢复及并发症发生情况.结果 144例患者中141例切口Ⅰ期愈合,无一例切口感染,颅骨塑形满意;3例术后发现部分皮缘发黑,给予间断拆线换药后愈合;颞肌外组术后颞肌萎缩、脑脊液漏、硬膜外及脑内血肿、局部脑挫伤等并发症发生率均低于颞肌下组(均P<0.05).结论 颞肌外较颞肌下术式相比,其操作简单,术后并发症更少、更有利于患者康复.

关 键 词:颞肌外  颞肌下  钛网修补  颅骨缺损

Comparison of Effects of Titanium Mesh Repair of Skull Defects in Frontotemporal Area
PENG Zhi,LIU Yan-ting,XIAO Ning,FENG Ding-kun,AI Wen-bing,CHEN Yu-hong. Comparison of Effects of Titanium Mesh Repair of Skull Defects in Frontotemporal Area[J]. Practical Clinical Medicine, 2011, 12(1): 30-32
Authors:PENG Zhi  LIU Yan-ting  XIAO Ning  FENG Ding-kun  AI Wen-bing  CHEN Yu-hong
Affiliation:PENG Zhi,LIU Yan-ting,XIAO Ning,FENG Ding-kun,AI Wen-bing,CHEN Yu-hong(Department of Neurosurgery,Renhe Hospital of Three Gorges University,Yichang 443001,China)
Abstract:
Objective To compare advantages and disadvantages of two different titanium mesh repair surgeries,under temporal muscle and outside temporal muscle,for skull defects in frontotemporal area.Methods A total of 144 patients with skull defects were assigned to receive either surgical repair under temporal muscle(under temporal muscle group,n=75) or surgical repair outside temporal muscle(outside temporal muscle group,n=69) according to admission time.Postoperative recovery and complications were observed in all...
Keywords:outside the temporal muscle  under the temporal muscle  titanium mesh repair  skull defects  
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