大骨瓣开颅术中颞肌成形的意义

目的：探讨大骨瓣开颅术中行颞肌成形术的临床意义。方法：同期60例去大骨瓣开颅病人，随机分成2组（术前2组临床资料无差异），其中30例用人工脑膜将颞肌与顶部头皮帽状腱膜扇形连接（A组），另30例按传统方法关颅作为对照（B组）。3个月后颅骨修补2组均采用计算机三维塑形颞肌下修补术。结果：除去2组的死亡病人及未行颅骨成形的病人，A组21例，B组18例，用人工脑膜将颞肌与帽状腱膜扇形连接组（ A组）的头颅形态明显优于对照组（ B组）；神经功能的恢复也优于对照组。结论：人工脑膜颞肌成形可有效预防颞肌废用性萎缩，改善后期颅骨修补后的头颅外观形态，促进神经功能的恢复，改善患者生活质量。

Clinical Values of Temporalplasty in the American Standard Large Trauma Craniotomy Operations

Objective：To investigate the clinical values of temporal plasty in the large trauma craniotomy operations .Methods：There were sixty patients operated by large trauma craniotomy ,randomly assigned into two groups ,the group consisted of 30 cases with temporal plasty treatments（A）, the other group consisted of 30 cases with routine treatments（B）, all cases subtemporal cranioplasty in Computer 3D image after three months .Results：Beside the cases of death and non -cranioplasty, A goup 21 cases, B group 18 cases, in A group ,the repaired skulls in a good shape , and its neurological dysfunction improving is better than B group .Conclusion：Temporal plasty with artificial dura mater can prevent temporal atrophy , improve the skull shape and neurological dysfunction .