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中华神经创伤外科电子杂志 ›› 2020, Vol. 06 ›› Issue (03) : 176 -179. doi: 10.3877/cma.j.issn.2095-9141.2020.03.010

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短篇论著

去骨瓣减压术后合并脑膨出早期颅骨修补策略
田志华1, 茹小红1,(), 李敏1, 段海锋1, 张浩1, 黄可丰1   
  1. 1. 048000 山西晋城,晋城市人民医院神经外科
  • 收稿日期:2019-09-07 出版日期:2020-06-15
  • 通信作者: 茹小红

Early skull repair strategy for patients with encephalocele after decompressive craniectomy

Zhihua Tian1, Xiaohong Ru1,(), Min Li1, Haifeng Duan1, Hao Zhang1, Kefeng Huang1   

  1. 1. Department of Neurosurgery, The People’s Hospital of Jincheng, Jincheng 048000, China
  • Received:2019-09-07 Published:2020-06-15
  • Corresponding author: Xiaohong Ru
  • About author:
    Corresponding author: Ru Xiaohong, Email:
引用本文:

田志华, 茹小红, 李敏, 段海锋, 张浩, 黄可丰. 去骨瓣减压术后合并脑膨出早期颅骨修补策略[J/OL]. 中华神经创伤外科电子杂志, 2020, 06(03): 176-179.

Zhihua Tian, Xiaohong Ru, Min Li, Haifeng Duan, Hao Zhang, Kefeng Huang. Early skull repair strategy for patients with encephalocele after decompressive craniectomy[J/OL]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2020, 06(03): 176-179.

目的

探讨去骨瓣减压术后合并脑膨出患者早期纠正脑膨出并实施颅骨修补术的临床效果。

方法

回顾性分析晋城市人民医院神经外科自2014年1月至2017年1月收治的23例去骨瓣减压术后合并脑膨出患者早期行颅骨修补的临床资料。比较患者手术前后的头颅CT及改良Rankin量表(mRs)评分。

结果

所有患者均在纠正脑膨出的同时,早期成功实施了颅骨修补术。患者均恢复顺利,无颅高压表现,无死亡病例。术后头颅CT示脑膨出及脑组织移位纠正,部分患者mRs评分较术前降低。

结论

针对去骨瓣减压术后不同原因引起的脑膨出,早期采取相应的措施纠正脑膨出,同期实施颅骨修补,在临床上切实可行,疗效确定。

Objective

To explore the clinical effect of early correction of encephalocele and skull repair in patients with encephalocele after decompressive craniectomy.

Methods

The clinical data of 23 patients with encephalocele after decompressive craniectomy, admitted to Department of Neurosurgery, Jincheng People’s Hospital from January 2014 to January 2017, were analyzed retrospectively. The CT and modified rankin scale (mRs) scores of the patients before and after operation were compared.

Results

At the same time of correction of encephalocele, skull repair was successfully performed in early stage in all patients. All patients recovered smoothly, no manifestation of intracranial hypertension and no death. After operation, CT showed encephalocele and brain tissue displacement correction, and the mRs score of some patients was lower than that before operation.

Conclusion

In view of the encephalocele caused by different reasons after decompressive craniectomy, early measures should be taken to correct the encephalocele and cranioplasty at the same time, which is practicable in clinic and has definite curative effect.

图1 去骨瓣减压术后合并脑膨出患者术前术后影像学资料
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