骨瓣成形术在后颅窝手术中的应用

Application of Craniotomy for Posterior Fossa Lesions

目的探讨骨瓣成形术在后颅窝病变治疗中的作用。方法对41例后颅窝病变患者采用骨瓣成形术,手术入路包括枕下乙状窦后入路、枕下正中入路。结果所有患者术后无皮下积液、脑脊液漏等并发症,头颅外观美观,未触及颅骨缺损,CT复查显示骨瓣复位良好。结论后颅窝骨瓣成形术后骨瓣复位保持了解剖层次的完整性,消除了颅骨缺损对患者的不良心理影响,值得推广应用。

Objective To evaluate the application of craniotomy in the treatment for posterior fossa lesions.Methods Craniotomy were performed in 41 cases with posterior fossa lesions,including the suboccipital retrosigmoid approach and medial approach.Results No complications such as subcutaneous hydrocele or CSF leakage occurred;the skull had good appearance without defects;postoperative CT showed the bone flaps repositioned well.Conclusion The craniotomy in osterior fossa lesions can maintain the cranial anatomical integrity,avoid the disadvantages of psychological influence due to the skull defect,which is worth of promotion.