自体颅骨瓣帽状腱膜下埋藏牵拉复位术的临床应用研究

目的:探讨自体颅骨瓣早期牵拉复位在修复颅骨缺损中的临床效果.方法:对121例颅脑手术需行去骨瓣减压者,游离颅骨瓣,将颅骨瓣埋藏于骨窗边的帽状腱膜下,2周内脑水肿减退后,牵拉预先固定于颅骨瓣的丝线,将颅骨瓣复位于骨窗.结果:121例病人均一次复位成功,无1例切口感染,无并发牵拉部位血肿,颅骨瓣复位良好,头颅外形如常.结论...

Clinical Study on Transplantation and Traction and Reposition with Autologous Skull Flap under Epicranial Aponeurosis

Objective:To investigate the clinical effect of traction and reposition with autologous skull flap in repairing cranium defects at the early stage.Methods:121patients needed decompressive craniectomy were included in this study.we separated the sull flap and buried it under the epicranial aponeurosis.2 weeks after surgery,when cephaledema decreased to normal,the skull flap was pulled by the thread which fixed in advance to original place.Results:The skull flaps in 121 cases were replaced successfully for the first time without infection and hematoma in operative area postoperatively,showing the good results with skull flap reposition and normal skull appearance.Conclusion:The result shows that transplantation and traction and reposition with autologous skull flap under Epicranial Aponeurosis is effective in repairing cranium defects at the early stage.