基层医院颅脑外伤扩大翼点入路颞浅动脉保护的体会

An anatomical study on protecting superficial temporal artery in pterional craniotomy

目的探讨扩大翼点入路颞浅动脉的保护及其术后效果。方法回顾性分析梁河县人民医院神经外科自2013年1月至2015年12月收治的42例颅脑外伤行扩大翼点入路患者的临床资料,报道总结颞浅动脉的保护方法及其术后并发症的发生情况。结果 42例患者术中颞浅动脉均保护良好,术后皮瓣血供良好,切口愈合良好,皮瓣愈合外形满意。结论扩大翼点入路需重视颞浅动脉的保护,可以明显降低患者术后切口感染、皮下积液及切口愈合不良的发生。

Objective To discuss the protecting ways on superficial temporal artery in pterional craniotomy and the postoperative outcomes. Methods 42 patients with traumatic brain injury under pterional approach admitted to Department of Neurosurgery, the People ＇s Hospital of Lianghe County during January 2013 to December 2015 were discussed. The protecting ways on superficial temporal artery in pterional craniotomy and operation complication were reported. Results The superficial temporal artery in pterional craniotomy were protected very well in all patients, and the wound healing well becaused of all flaps＇ good blood supply. Conclusion The protecting of superficial temporal artery in pterional craniotomy should be taken more seriously, which can reduce the incidence of surgical site infection, subcutaneous hydrops and poor wound healing.