胎儿颅骨移植修补小儿颅骨缺损1例

• 作 者: 周晓光 王聆
• 机 构: 中国人民解放军第五二一医院,中国人民解放军第五二一医院,
• 出 处: 中华小儿外科杂志
• 发表日期: 1997年06期
• 关键词: 胎儿颅骨 颅骨缺损 去骨瓣减压术 颞顶部 颅脑损伤 骨瓣 胶管引流 骨缝 静脉麻醉 新洁尔灭溶液

我院成功地应用胎儿颅骨移植修补成人颅骨缺损后,于1994年8月应用于小儿,现报告如下。患儿:女,18个月。因颅脑损伤行左颞顶部去骨瓣减压术,骨瓣大小为8 cm×6 cm,并清除硬膜外血肿80 ml,术后遗留颅骨缺损。术后3个月再行胎儿颅骨移植修补颅骨缺损手术。采用静脉麻醉,依次切开头皮,翻开皮瓣,将修整好的胎儿颅骨覆盖在骨窗上,骨缘及硬膜用7号丝线间断固定4针,硬膜外置胶管引流。术后切口Ⅰ期愈合,颅骨修补后16个月复查修补处无软化,头形对称,X 线示骨缝已愈合。

Our hospital successfully applied fetal skull transplantation repair adult skull defects, in August 1994 for children, are as follows. Children: Female, 18 months. Due to the craniocerebral injury, the left temporoparietal bone was decompressed. The size of the bone flap was 8 cm × 6 cm, and the epidural hematoma was removed by 80 ml. The skull defect remained after operation. Three months after operation, fetal skull transplantation was performed to repair skull defects. The use of intravenous anesthesia, followed by incision of the scalp, open the flap, the trimmed fetal skull covered in the bone window, bone edge and dura with intermittent fixation of No. 7 4-pin wire, epidural catheter drainage. Postoperative incision healed, 16 months after the repair of skull repair no softening, head symmetry, X-ray showed suture has healed.