钛合金网片颅骨成形术85例临床分析

CLINICAL ANALYSIS OF 85 CASES OF CRANIOPLASTY WITH TITANIUM MESH

目的探讨钛合金网片颅骨成形术的临床效果。方法对我院神经外科1998—2003年施行的85例钛合金网片颅骨成形术进行回顾性总结分析。结果85例患者均一次修复成功,外观满意。术后最常见的近期并发症是皮下积血,其次是硬膜下血肿,脑内血肿及脑挫裂伤。全部患者随访1～5年,术前有颅骨缺损综合征者,术后症状消失,有局灶性神经症状者,术后部分患者有不同程度恢复。无局部皮肤刺痛、修补物外露、修补物松动等远期并发症。结论钛合金网片是理想的颅骨成形术材料,远期并发症发生率低,近期并发症多与手术操作有关。

Objective To investigate the clinical effect of cranioplasty with titanium mesh. Methods 85 cases who were performed cranioplasty with titanium mesh from 1998 to 2003 were reviewed retrospectively. Results All 85 cases were treated successfully in one time with satisfied appearance. The most common recent complication of cranioplasty with titanium mesh was subcutaneous hematoma; the next was subdural hematoma, intracerebral hematoma and brain contusion. All cases were trailed for 1 to 5 years. After operation, symptoms of skull defect syndrome disappeared and some neural symptoms recovered in different level, no one appeared long-term complications such as pain of skin, exposure or mobilization of the mending material. Conclusion Titanium mesh is a kind of quite good material for cranioplasty. The long-term complications occur rarely, the recent complications are mainly related to operation technique.