数字化成形钛网颅骨修补术的手术技巧探讨

摘要

Objective:To explore the surgical technique of the cranioplasty of digital forming titanium mesh.Methods:The clinical data of 202 skull defect patients treated with cranioplasty of digital forming titanium mesh were retrospectively analyzed from March 2006 to March 2016.Results:All patients recovered well,the head appearance is satisfactory,and the results of CT showed that the titanium mesh and skull is closely fit.The neurological dysfunction of all patients was significantly improved.The scalp effusion in 6 cases,local infection in 1 case,small intracerebral hematoma in 2 cases,preoperative epidural hematoma in 3 cases,a large number of epidural hematoma after shunt in 2 cases,and postoperative grand mal epilepsy in 2 cases were identified.No titanium mesh exposure, loosening,deformation,chewing pain and mouth restriction in all patients were observed.Conclusions:Improving surgical technique can significantly reduce the complications of cranioplasty of digital forming titanium mesh.%目的:探讨数字化成形钛网颅骨修补术的手术技巧.方法:回顾性分析2006年3月至2016年3月应用数字化成形钛网治疗202例颅骨缺损病人的临床资料.结果:所有病例恢复良好,复查头颅CT钛网与颅骨均紧密贴合良好,头部外观满意.病人原有神经功能障碍得到改善.202例发生头皮下积液6例,局部感染1例,脑内小血肿2例,术区硬膜外小血肿3例,分流术后病人并发大量硬膜外血肿2例,术后癫痫大发作2例.无钛网外露、松动、变形,无咀嚼疼痛、张口受限等不良反应.结论:提高手术技巧可降低数字化成形钛网颅骨修补术手术并发症.