颅骨缺损三维可塑型钛网修补术120例临床应用

目的探讨颅骨缺损修补手术的适应证、时机、修补材料、技巧及并发证的防治。方法对120例颅骨缺损行三维可塑型钛网颅骨修补手术患者的临床资料进行回顾性分析。结果颅骨缺损用三维可塑型钛网修补,手术方法为覆盖法,颅骨修补手术时间术后立即修补6例,其余距受伤3个月～1年。术后100例原有头痛、头晕不同程度改善;20例不明显[1]:术前20例肢体偏瘫痪者术后症状有明显改善;无手术死亡病例。结论对于颅骨缺损直径≥3cm、缺损部位在额部、颞、顶部等,应当及时行修补术。目前手术材料选用三维可塑型钛网,其手术方法最简单,并发症最少,疗效最佳。

Objective To explore the indication operative tine surgical skills and prevention of complications in the treament of skull defect M ethods Clinical data of 120cases of skull defect treated with titanium alloy mesh in 120 cases In 6 cases cranioplasty were adopted inmediatel after resection of brain tumors For others the operation tine adter first operation ranged from 3 months to /year After operation,100 cases presented eith hendache or dizziness inproved while 20 cases show little change,20 cases presented with paralysis inproved was cured with the cooperation of medicine, no case died of operation Conclusion The cranioplasty should be adopted 3 months to 1 year after injury in patients with at least 3cm of skull defect in diameter. The tianium alloy mesh is the best material in cranioplasty for its sinplicity, less complication,and excellent effect.