【摘要】 目的比较颞肌外与颞肌下2种不同钛网修补额颞区颅骨缺损术的优缺点。方法将144例颅骨缺损患者按入院时间分为2组,颞肌外组(n=69)和颞肌下组(n=75)。分别采用颞肌下与颞肌外2种不同手术方式修补颅骨缺损,观察患者术后恢复及并发症发生情况。结果 144例患者中141例切口Ⅰ期愈合,无一例切口感染,颅骨塑形满意;3例术后发现部分皮缘发黑,给予间断拆线换药后愈合;颞肌外组术后颞肌萎缩、脑脊液漏、硬膜外及脑内血肿、局部脑挫伤等并发症发生率均低于颞肌下组(均P<0.05)。结论颞肌外较颞肌下术式相比,其操作简单,术后并发症更少、更有利于患者康复。更多还原

【Abstract】 Objective To compare advantages and disadvantages of two different titanium mesh repair surgeries,under temporal muscle and outside temporal muscle,for skull defects in frontotemporal area.Methods A total of 144 patients with skull defects were assigned to receive either surgical repair under temporal muscle(under temporal muscle group,n=75) or surgical repair outside temporal muscle(outside temporal muscle group,n=69) according to admission time.Postoperative recovery and complications were observed in all patients.Results Among the 144 patients,141 patients presented stageⅠwound healing with satisfactory skull shape and no patients had wound infection.Black incision margins were found in 3 patients who were healed by intermittent stitches and dressing change.The incidence of temporal muscle atrophy,cerebrospinal fluid leakage,epidural and intracerebral hematoma,cerebral contusion and other complications in outside temporal muscle group was significantly lower than that in under temporal muscle group(P<0.05).Conclusion Titanium mesh repair surgery outside temporal muscle is a simple procedure for treatment of skull defects,and it is more conducive to recovery and has fewer complications than the surgery outside temporal muscle.更多还原