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如何进出颅骨:从颅骨锯到“锤子和凿子”,再到吉利锯和骨成形瓣。

How to get in and out of the skull: from tumi to "hammer and chisel" to the Gigli saw and the osteoplastic flap.

作者信息

Goodrich James Tait

机构信息

Division of Pediatric Neurosurgery, Leo M. Davidoff Department of Neurological Surgery, Children's, Hospital at Montefiore, and Departments of Pediatrics and Plastic and Reconstructive Surgery, Albert, Einstein College of Medicine, Bronx, New York.

出版信息

Neurosurg Focus. 2014 Apr;36(4):E6. doi: 10.3171/2014.2.FOCUS13543.

DOI:10.3171/2014.2.FOCUS13543
PMID:24708162
Abstract

Making "holes in the skull" is an ancient art and by some is considered the second oldest profession in the world-the first being prostitution. Early surgeons, and later on neurosurgeons, devised a number of ingenious ways to make a hole in the skull or elevate a depressed skull fracture. Trephined skulls from antiquity have now been found in most parts of world, showing that the art of trephining is not only ancient but clearly widespread. Beginning with antiquity the author traces the development of this surgical skill by reviewing the various tools used and surgical designs to perform what is now called a craniotomy.

摘要

“在颅骨上钻孔”是一门古老的技艺,有人认为它是世界上第二古老的职业——第一古老的职业是卖淫。早期的外科医生,以及后来的神经外科医生,想出了许多巧妙的方法来在颅骨上钻孔或抬起凹陷的颅骨骨折。现在在世界大部分地区都发现了古代的环锯颅骨,这表明环锯术不仅古老而且显然分布广泛。作者从古时候开始,通过回顾所使用的各种工具和手术设计来追溯这种外科技术的发展,这些工具和设计用于实施现在所说的开颅手术。

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