You Position: Home > Paper
Suboccipital craniotomy for posterior fossa lesions
( views:53, downloads:116 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 10
- DOI:
- 10.3760/j.issn:1001-2346.2006.10.011
- Key Word:
- 后颅窝;枕下骨瓣开颅术;骨窗开颅术;并发症
Abstract： 目的 应用枕下骨瓣开颅术治疗后颅窝病变,与传统的枕下骨窗开颅术比较探讨其优越性.方法 92例后颅窝病变,枕下骨瓣开颅48例,骨窗开颅44例.分别采用乙状窦后、后正中和旁正中三种手术入路.结果 骨瓣开颅组术后CT显示骨瓣复位良好,术后无脑脊液漏,皮下积液6例,颅内感染5例.骨窗开颅组术后脑脊液漏3例,皮下积液9例,颅内感染4例.两组比较无统计学意义.骨窗开颅组有不同程度的创口凹陷.结论 虽然骨瓣开颅组术后无脑脊液漏,但是尚不能说明骨瓣复位能减少脑脊液漏的发生,是否骨瓣复位与术后皮下积液和颅内感染亦无明显关系.骨瓣复位保持了解剖层次的完整性,避免了术后颅骨缺损对患者的不良心理影响.
- [1]张玉琪,王忠诚,马振宇.儿童后颅窝肿瘤手术入路及骨瓣复位[J].1998,(5).
- [2]Ogilvy Christopher S.,Ojemann Robert G..Posterior fossa craniotomy for lesions of the cerebellopontine angle[J].1993.
- [3]Lafuente J,Gnanalingham KK,Thompson D,etc.MRI study of the natural history and risk factors for pseudomeningocoele formation following postfossa surgery in children.[J].2003,17(6).
- [4]S N, Kurpad,A R, Cohen.Posterior fossa craniotomy: an alternative to craniectomy.[J].1999,31(1).
- [5]Lerch KD.Reliability of cranial flap fixation techniques: comparative experimental evaluation of suturing, titanium miniplates, and a new rivet-like titanium clamp (CranioFix): technical note.[J].1999,44(4).
- [6]S G, Harner,C W, Beatty,M J, Ebersold.Impact of cranioplasty on headache after acoustic neuroma removal.[J].1995,36.