局部钛网切除术治疗颅骨缺损修补术后钛网外露10例临床分析

Clinical Analysis of Partial Skull Mesh Plate Resection in 10 Cases with Titanium Mesh Outerop Following Skull Defect Neoplasty

目的分析局部钛网切除术治疗颅骨缺损修补术后钛网外露感染的临床疗效.方法采用局部钛网切除术治疗10例颅骨缺损修补术后钛网外露患者,术后应用敏感抗菌药物抗感染及促进改善局部循环药物,延迟切口拆线.结果 10例患者中,7例Ⅰ期愈合,3例患者于术后3周瘢痕愈合.10例患者均未出现感染、钛网外露、皮下积液等现象.结论该术式安全可靠,操作简单,相对于完全去除钛网植入物Ⅱ期修复术,患者更易接受,且治疗费用少.

Objective To analyze the clinical efficacy of partial skull mesh plate resection in the treatment of infection induced by the titanium mesh outerop following skull defect neoplasty. Method Partial skull mesh plate resection was employed in the treatment of 10 cases with titanium mesh outerop following skull defect neoplasty. After the operation,the sensitive antibiotics were used for the treatment of infection, some drugs were administered to improve the regional circulation, and delayed dermal sutures disconnecting was adopted. Results Among of 10 cases,there were 7 cases with healing by first intention,and 3 cases with scar healing after 3 weeks. No dermal infection, subdermal effusion and implant outcrop were found. Conclusion This procedure should be safer and more reliable, easier to be accepted by the patients and more economic in contrast to the total skull mesh plate resection.