目的

比较额颞区颅骨缺损行颞肌外与颞肌下两种不同修补术式术后早期并发症，探讨两种术式的优缺点。

方法

回顾性分析我院2011年～2014年95例行单侧额颞区颅骨缺损修补术的临床资料，按手术方式分为颞肌外组60例，颞肌下组35例，比较两组术后早期发生皮下积液、颅内出血、感染、癫痫的概率及术后皮下引流量。

结果

颞肌外组与颞肌下组在术后早期皮下积液、颅内出血、感染、癫痫及术后皮下引流量的差异均无统计学意义(P＞0.05)。

结论

额颞区颅骨缺损采用颞肌外或颞肌下修补术后早期并发症无明显差别，但术前骨窗凹陷较深的病例适合行颞肌外修补。

Objective

To comparison the early postoperative complications of outside/inder temporalis method in frontal-temporal skull defect of cranioplasty,and to explore the advantages and disadvantages of the two methods.

Methods

Ninety-five with unilateral cranioplasty in our department from 2011 to 2014 were retrospectively analyzed.Sixty cases underwent outside temporal and thirty-five underwent insider temporal muscle cranioplasty.The early postoperative complications(postoperative subcutaneous hydrops，postoperative hemorrhage，infection and epilepsy)and the subcutaneous drainage was compared.

Results

The two operation methods had no obvious difference in the postoperative subcutaneous hydrops，postoperative hemorrhage，infection，epilepsy and the subcutaneous drainage(P<0.05).

Conclusion

Two surgical methods have no obvious difference in the early postoperative complications,however,outside temporal muscle method is more suitablefor the patientswith deep introcession beforeoperation.