减压性颅骨切除术后骨窗瓣压力异常患者颅骨修补术中的治疗方法。
Methods of intra-operative treatment of cranioplasty in patients with abnormal bone window flap pressure after decompressive craniectomy.
作者信息
Wan Yi, Fei Xifeng, Shi Lei, Jiang Dongyi, Chen Hanchun, Wang Zhimin, Zeng Yanjun
机构信息
Department of Neurosurgery, Suzhou Kowloon Hospital affiliated with Shanghai Jiao Tong University School of Medicine, Suzhou 215021, PR China.
Department of Neurosurgery, The First People's Hospital of Kunshan affiliated with Jiangsu University, Suzhou 215300, PR China.
出版信息
Clin Neurol Neurosurg. 2016 May;144:44-7. doi: 10.1016/j.clineuro.2016.03.001. Epub 2016 Mar 6.
OBJECTIVE
This study was performed to investigate the method of cranioplasty in patients with abnormal bone window pressure after decompressive craniectomy.
METHODS
We performed a retrospective analysis for 25 cases after decompressive craniectomy in patients with abnormal flap pressure of clinical data.
RESULTS
Flap pressure increased in 15 cases, including 6 cases of hydrocephalus, 5 cases of contralateral subdural effusion, 2 cases of subdural effusion bone window, 2 cases of bone window cystic encephalomalacia communicating with the ventricle; Flap pressure decreased in 10 cases, including 6 cases of hydrocephalus after ventriculoperitoneal shunt, and 4 cases of low intracranial pressure. ALL of patients were treated by appropriate measures to make the operation smoothly.
CONCLUSION
Our data suggest that after analysis of the factors for abnormal bone window flap pressure by decompressive craniectomy and symptomatic treatment, the difficulty of operation and operative complications can be reduced.
目的
本研究旨在探讨去骨瓣减压术后骨窗压力异常患者的颅骨修补方法。
方法
对25例去骨瓣减压术后骨瓣压力异常患者的临床资料进行回顾性分析。
结果
骨瓣压力升高15例，其中脑积水6例，对侧硬膜下积液5例，硬膜下积液骨窗2例，骨窗囊肿性脑软化与脑室相通2例；骨瓣压力降低10例，其中脑室腹腔分流术后脑积水6例，颅内压降低4例。所有患者均采取适当措施使手术顺利进行。
结论
我们的数据表明，通过分析去骨瓣减压术后骨窗瓣压力异常的因素并进行对症治疗，可以降低手术难度和手术并发症。
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