保留薄层颞肌钛网板颅骨修补术的临床效果分析

Analysis of the clinical effects of titanium mesh plate cranioplasty with thin temporalis muscle retention

目的探讨保留薄层颞肌的数字化塑形钛网板修补颅骨缺损的手术效果。方法将98例颅骨修补患者分成两组,各49例。对照组采取完全剥离硬脑膜侧的颞肌,观察组采取保留硬脑膜侧薄层颞肌的方法。通过对术后患者伤口愈合、外形满意度、皮下刺痛感、皮下积液、头皮坏死、感染、脑挫裂伤、出血及癫痫并发症发生情况,分析判断两组的疗效。结果观察组治疗后良好率为83.7%,高于对照组的4.1%(P<0.01)。观察组并发症发生率6.1%,低于对照组的59.2%(P<0.01)。结论钛网颅骨修补时,保留硬脑膜侧薄层颞肌可减少术后并发症,提高治疗效果。

Objective To discuss the surgical effect of digitized shaping titanium mesh plate with the retention of thin tempo-ral muscle in cranioplasty.Methods Clinical data of 98 cases of cranioplasty divided into two groups （ n =49,each） were analyzed. Completely stripped temporalis muscles from dural side was the control group and thin temporal muscle retention on dural side was the observation group.The postoperative appearance satisfaction ,tingling skin,subcutaneous effusion,scalp necrosis,infection,brain contu-sion,hemorrhage and epilepsy complications were analyzed and the clinical efficacy of two groups was compared .Results Shape satis-faction rate of observation group was 83.7%,higher than 4.1%of the control group（ P 〈0.01）.The complication rate of the observa-tion group was 6.1%,lower than 59.2%of the control group（ P 〈0.01）.Conclusion Thin temporal muscle retention is an effective surgical approach to reduce postoperative complications and improve the therapeutic effect .