创伤性颅骨缺损及修补的相关问题

Issues in cranioplasty after traumatic skull defect

颅骨缺损是颅脑创伤、去骨瓣减压术后的主要后遗症之一,影响患者的神经功能预后颅骨修补术是治疗颅骨缺损的主要方法,已在神经外科中广泛开展虽然颅骨修补的最佳手术时机仍有争议,但在病情允许时,笔者提倡早期行颅骨修补术不同的颅骨修补材料各有优缺点,应当根据患者的具体情况选择合适的修补材料°术前充分评估,术中合理操作及术后妥善管理是预防颅骨修补术相关并发症的重要手段笔者针对这些问题结合最新文献及进展进行综述,为规范临床治疗提供借鉴。

Skull defect is one of the major sequelae of traumatic brain injury and decompressive craniectomy,which affects the prognosis of neurological function.Cranioplasty is the main method to treat skull defect.The surgical technique is relatively simple and has been widely performed in neurosurgical departments.Although the optimal timing of cranioplasty is still controversial,the author advocates early cranioplasty when the patent's condition permits.Different cranioplasty materials have their own advantages and disadvantages,so we should choose appropriate materials according to the specific conditions of patients.Full preoperative evaluation,reasonable operation and proper postoperative management are important means to prevent complications related to cranioplasty.In view of these problems,the author reviews the latest literature and progress in order to provide reference for standardizing clinical treatment.