连头婴头颅软组织大范围缺损的修复

Repair of large area skull soft tissue defects in the case of complex craniopagus twins

目的 报告连头婴的头皮扩张术及修复分离后的头皮和硬脑膜巨大缺损的方法及经验。 方法 分析头皮扩张器埋置过程中并发症发生的原因及处理措施 ,扩张后头皮皮瓣及纤维囊膜在头颅软组织缺损修复中应用的特点及处理注意事项等进行总结。 结果 头皮扩张后 ,能满意地一期整复硬脑膜及头皮缺损。 结论 对连头婴在埋植扩张器及分离术的术前准备及术中处理应精心筹划 ,术后严密观察及时处理并发症 ,对保证分离手术的成功 。

Objective To explore the experience in scalp operation of craniopagus and repairing of scalp and dura defect after separating Methods Analysis the cause and management of the complication after skin expander implantation Discuss the characteristic of repairing skull soft tissue defect by expanded scalp flap and fiber capsule Results Dural and scalp defect could be repaired satisfactory with expanded scalp at one stage Conclusion It's necessary and important for successful separation in D type craniopagus with preoperation care, an elabarate operative management, careful postoperative observation and timely treatment for complication