后颅窝骨瓣成形术(附32例报告)
后颅窝,,后颅窝；骨瓣；复位术,1临床资料,2讨论,【参考文献】
【摘要】 目的 根据后颅窝病变的不同位置选择最佳手术入路，并观察后颅窝咬骨窗术改为骨瓣成形术的临床效果。方法 对32例后颅窝病变根据不同的手术入路选择单侧骨瓣、单侧跨中线骨瓣、正中骨瓣，术毕均行骨瓣复位。结果 骨瓣成形术后无一例发生脑脊液漏、皮下积液、伤口愈合不良等手术并发症。结论 骨瓣复位符合解剖复位原则，减少了去骨瓣所致的手术并发症及骨瓣缺损对患者所致的心理影响。【关键词】 后颅窝；骨瓣；复位术
Posterior fossa bone flap suboccipital craniotomy:a report of 32 cases
A Li-mu,CHI Guang-ming,WU Hong-xing,et al.
Department of Neurosurgery,Xinjiang Peoples Hospital,Urumqi 830001,China
【Abstract】 Objective Tumors operative approaches were chosen according to locations of the tumors and to observe the clinical curative effect, by using of suboccipital cranitomy to maintain anatomical replace.Methods According to locations of the pathological changes(32 cases) three kinds of bone flaps were selected (unilateral bone flap), unilareral median bone flap,median bone flap.All cases underwent the craniotomy, and the process was removed totally under microscope.Results There were no postoperative complication include leakage of cerebrospinal fluid,hypofiurdity dysintention.Conclusion The advantage of suboccipital craniotomy are anatomical replacement less postoperative complication and sequelae, and beneficial to patients mental health. ......
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