超低温保存自体颅骨植入术42例分析

目的：分析42例超低温保存自体颅骨植入术的优越性。方法：对42例患者进行术后观察及随访。结果：切口均I期愈合，具有生物活性和美观的效果，无排斥反应和免疫反应，不易感染等优点。冷冻1，3，6及12个月后选取的颅骨标本，电镜下组织结构与新鲜颅骨标本组织结构大致相同，未见颅骨细胞破坏，颅骨修补术前移植骨瓣的细菌培养均为阴性，术后随访3－12个月，平均6．5个月，所有病例均无并发症发生，头颅X线及头颅螺旋CT检查，12个月后均达骨性愈合，结论：超低温保存自体颅骨再植术是修补颅骨缺损的最有效方法之一。

Analysis of 42 cases implanting with autoskull stored utra-hypothermia skull bone of oneself

Objective To analyze the superiority of implanting operation with autoskull stored at ultrahypothermia over low temperature's and frozen skull bone of oneself.Methods 42 case were observed and followed up after operation.Results Incision is healing by firct intention.there were many advantages,such as good biological activity,beautiful appearance,no repellent response,no immunoreaction and hard to infection,etc. After storing 1,3,6 and 12 months,the histological structure of frozen skull observed by electronscope was similar to those of fresh skull.Pestroyed skull bone cells were not found.All cases had no complication during the period of 3 to 12 months(mean 6.5 months) follow-up after operation.After 12 months,X ray and CT scan showed that skulls were healed.Conclusions Implanting operation with autoskull stored at ultra-hypothermia is one of the most effective technique for repairing skull defects.