Tan Ao, Wei Chun-Chan, Xie Bao-Jun
Department of Neurosurgery, First People's Hospital of Hechi City, Yizhou, Guangxi, P. R. China 546300.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2004 Jan;18(1):31-3.
To investigate the clinical application of self-cranial bone powder in one stage cranioplasty.
From October 1999 to December 2002, self-cranial bone powder and medical adhesive were used to repair the skull defect, for one stage cranioplasty, caused by operations on cranium in 128 cases of severe dangerous craniocerebral injury, acute intracranial hematome, sick skull and intracranial tumor. The bone growth was observed by CT or X-ray examination 3-24 months after replantation of cranioplasty.
The decompression and cranioplasty were performed simultaneously, the time prolonged 5-10 minutes than that of routine, the appearance of repaired cranial bone was normal, without concavity and convexity. After 12 months of operation, the replanted bone merged with the normal bone completely, with normal appearance. The operation successful rate was 96.1% (123/125) without any complication. Only five cases were not better in growing because of less bone powder, but without cerebral pulse and defective syndrome. All the cases did not need secondary cranioplasty.
The effect of cranioplasty with self- cranial bone powder effect is good in taking shape. This new method can avoid the traditional secondary cranioplasty for skull defect and complications.
探讨自体颅骨骨粉在一期颅骨成形术中的临床应用。
1999年10月至2002年12月，采用自体颅骨骨粉及医用黏合剂修复128例重型颅脑损伤、急性颅内血肿、颅骨病变及颅内肿瘤开颅术后颅骨缺损行一期颅骨成形术，术后3～24个月行CT或X线检查观察骨生长情况。
减压与颅骨成形同期进行，时间较常规延长5～10分钟，修复后的颅骨外观正常，无凹凸不平。术后12个月，植入骨与正常骨完全融合，外观正常。手术成功率为96.1%（123/125），无任何并发症。仅5例因骨粉量少生长欠佳，但无脑搏动及缺损综合征。所有病例均无需二次颅骨成形术。
自体颅骨骨粉颅骨成形术塑形效果良好。该新方法可避免传统的颅骨缺损二次颅骨成形术及并发症。
