【摘要】 目的:探讨颅内血肿开颅减压手术时应用"滑动骨瓣"术式可行性。方法:将15例原需去颅骨瓣减压者的颅骨瓣埋于骨窗边缘相应的帽状腱膜下,并从骨瓣牵出3根丝线于头皮外,术后5～11d高颅压消退不需要骨窗减压时,牵拉骨瓣至骨窗处,使之完全复位。结果:15例病人均一次复位成功,无1例感染,无并发牵拉部位血肿,骨瓣复位良好,术后半年以上骨性愈合。结论:"滑动骨瓣"术式用于颅内血肿开颅减压手术可免去骨瓣减压术后二期颅骨成形术,是安全、有效的。更多还原

【Abstract】 Objective:To investigate the feasibility of gliding skull flap in decompression during removing the intracranial hematomas. Methods:The skull flap in 15 patients whose bone flap of the skull had to be removed for decompression was removed and fixed under the epicranial aponeurosis around the margin of the bone window. Three strands of silk suture were pulled over the scalp for repositioning the flap 5 to 11 days after the operation when the cranial pressure was absolutely reduced. Results: The skull flap in 15 cases was repositioned successfully at primary procedure. No single case was complicated with infection or hematoma caused by the stretch of the silk suture. The bone union was observed six months after the procedure. Conclusion: The approach of gliding skull flap is effective and safe in craniotomy decompression by removing the intracranial hematomas,for it doesn′t require postoperative secondary cranioplasty.更多还原