颅骨缺损修补新方法——自体颅骨瓣牵拉复位应用报告

A new method of cranial defects repairment-traction and reposition of autogenous bone flap.

目的 介绍与探讨一项首创的颅骨缺损修补方法。 方法 对 1 0 5例颅脑手术需去骨瓣减压者作了游离颅骨瓣头皮下埋藏及牵拉复位术。骨瓣对应部位为 :颞叶 3 8例 ,额叶 3 0例 ,顶叶 2 3例 ,枕叶 1 4例。术中将颅骨瓣游离后埋藏于骨窗外缘的头皮下。 1至 2周患者脑水肿消退后 ,牵拉预先固定于骨瓣的丝线 ,使骨瓣复位 ,复位术于 3～ 5分钟内完成。 结果 手术均获成功 ,颅骨瓣复位良好。 结论 本方法使去骨瓣减压和颅骨修补二项手术一次完成 ,从根本上改变了传统的颅骨修补法 ,免去了再次开颅修补颅骨。此方法安全、简便、省时 。

Objective To introduce a new method of cranioplasty which has not been reported before Methods From January 1995 to June 1996, traction and reposition of autogenous bone flaps embedded under the scalp were underwent in 105 patients who needed external decompression by removal of bone flaps after craniotomy Locations of bone flaps used for traction and reposition were temporal lobe (38 cases), frontal lobe (30 cases), parietal lobe (23 cases) and occipital lobe (14 cases) During the operation, bone flaps were freed and preserved under the scalp outside the bone windows After resolution of brain edema 1～2 weeks postoperatively, traction and reposition of bone flap was underwent by stretching the silk threads which were previously fixed to the flaps Results Operative procedures of all patients were successful and reposition of bone flaps was fine Conclusions This new method has greatly changed the traditional cranial defect repairment by craniotomy and made it possible for the patients to undergo the external decompression and cranioplasty at the same time and there is no need for the second operation This method has the advantages of safty, simplicity and few complications