颅骨成形术后钛网外露预防和创面修复全国专家共识(2024版)

National expert consensus on the prevention and wound repair of titanium mesh exposure after cranioplasty(2024 edition)

颅骨成形术后发生的钛网外露是该术式最严重的并发症,尽管多年来临床上逐渐积累了一些针对钛网外露的诊治经验,但由于对其发生机制和并发感染的认识不足,治疗往往欠规范,难以达到令人满意的修复效果。为规范颅骨成形术后钛网外露创面的诊治,改善其治疗效果和患者生存质量,中国医师协会创面修复专业委员会组织专家讨论,基于国内外颅骨成形术后钛网外露创面的文献资料和诊疗现状,在颅骨成形术后钛网外露的发生机制、预防措施与诊治策略等方面达成了共识,以供相关临床医师参考。

Titanium mesh exposure after cranioplasty is the most serious complication of this procedure.Although some clinical experience has been gradually accumulated over the years in the diagnosis and treatment of titanium mesh exposure,the treatment is often not standardized and it is difficult to achieve satisfactory repair results due to insufficient understanding of its pathogenesis and concurrent infections.To normalize the diagnosis and treatment of titanium mesh exposed wounds after cranioplasty and improve the therapeutic effect and the quality of life of patients,the Wound Repair Professional Committee of Chinese Medical Doctor Association organized an expert discussion based on the literature and current diagnosis and treatment status of titanium mesh exposed wounds after cranioplasty at home and abroad,and reached a consensus on the pathogenesis,preventive measures,and diagnosis and treatment strategies of titanium mesh exposed wounds after cranioplasty to provide reference for relevant clinicians.