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去骨瓣减压术中以神经补片隔离颞肌对颅骨修补术的影响

Influence of cranioplasty by nerve patch isolating temporalis in decompressive craniectomy

来源期刊: 广州医药 | 79-81 发布时间:2021-12-17 收稿时间:2025/11/13 17:35:17 阅读量:21
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关键词:
去骨瓣减压术神经补片颞肌颅骨修补术
DOI:
10.3969/j.issn.1000-8535.2019.02.020
收稿时间:
2018-11-07 
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引用总数:
0  
目的 研究在去骨瓣减压术中以神经补片隔离颞肌与硬脑膜对后期颅骨修补术的帮助。方法 回顾分析 23 例去骨瓣大骨瓣减压术后行颅骨修补术的临床资料,随机分为对照组13例,以神经补片隔离颞肌与硬脑膜;观察组10例,不隔离颞肌与硬脑膜。对比颅骨修补术中剥离肌皮瓣时间、术中出血量、术后引流量、术中硬脑膜破损、术后皮下积液、满意度。结果 治疗组的剥离肌皮瓣时间(28.69±9.78)min、术中出血量(36.54±10.59)mL、术后引流量(108.92±29.34)mL几个方面优于对照组,至于术中脑膜破损及术后积液,因例数不够,无统计意义,但由原理及经验判断,治疗组应优于对照组。而治疗组术后外观满意度(77%)高于对照组(40%)。结论 在去骨瓣减压术中以神经补片隔离颞肌与硬脑膜对后期颅骨修补术有明显的帮助。
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