颅骨缺损钛网修补术416例治疗体会

Treatment Experience of 416 Cases of Skull Defect with Titanium Mesh

目的：探讨颅骨缺损行钛网修补术的手术时机及并发症的防治体会。方法：分析笔者所在医院2010年1月-2015年12月共416例行颅骨缺损钛网修补术患者,总结手术时机及术后早期发生皮下积液、颅内出血、感染及癫痫等并发症的原因分析及其防治。结果：402例术后3个月行修补术,术后出现颅内出血11例,癫痫发作15例,皮下积液12例,感染3例;14例术后8个月-1年行修补术,术后出血2例,皮下积液1例,癫痫发作2例。结论：颅骨缺损修补术在无明显手术禁忌情况下应早期进行,术前应用抗癫痫药物,手术操作娴熟、仔细,减少术期出血,术后保持通畅引流,正确处理各种并发症,提高手术效果。

Objective： To explore the surgical timing of titanium mesh cranioplasty and to prevent complication.Method： From Jan 2010 to Dec 2015, 416 cases of skull defect with titanium mesh in our hospital were selected, the reason and prevention of surgical timing, subcutaneous effusion early postoperative, intracranial hematoma, infection and epilepsy were retrospectively analysed.Result： 402 cases of skull defect were operated with titanium mesh 3 months after operation, intraeranial hematoma in 11 cases, epilepsy in 15 cases, subcutaneous effusion in 12 cases, infection in 3 cases.14 cases for cranioplasty 8 months to 1 year after operation, intracranial hematoma in 2 cases, subcutaneous effusion in 1 case, epilepsy in 2 cases.Canclusion： Cranioplasty shall perform in the early phase excluding surgery taboo, anti-epileptic is used preoperative, operate expertly and reduce hematoma, keep unobstructed drainage post-operation, correctly dispose complications to improve the effect of surgery.