摘要
目的探讨可吸收内固定体在儿童颅脑损伤术中骨瓣复位固定的应用效果。方法回顾性分析我院2015年10月~2019年3月行骨瓣复位固定的63例颅脑损伤患儿的临床资料,按照颅骨复位固定材料的不同分为研究组(31例)与对照组(32例)。研究组术中使用可吸收骨折内固定体(方头螺钉及直行骨板4孔)进行骨瓣复位固定;对照组术中使用2.0 mm接骨板及2.0 mm×5 mm钛钉进行骨瓣复位固定。比较两组手术时间、术后并发症总发生率、颅骨塑形满意度、术后影像学检查的干扰及固定材料的吸收情况。结果两组的手术时间、术后并发症总发生率、颅骨塑形满意度比较,差异无统计学意义(P>0.05)。研究组的术后CT、MRI及X线等影像学检查中无伪影干扰,对照组患儿术后CT、MRI及X线等影像学检查中明确有金属伪影干扰;研究组固定材料术后8~18个月均吸收,对照组金属接骨板术后随访均无吸收。结论儿童颅脑损伤手术中骨瓣复位固定应用可吸收骨折内固定体在手术时间、术后并发症总发生率、塑形满意度与金属固定材料对比无明显差异,术后固定材料可完全吸收,对影像学检查无伪影干扰,避免终生携带金属异物,有利于患儿正常的生长发育。
Objective To discusse the application effect of absorbable internal retainer in bone valve reset in the brain injury surgery of children.Methods Retrospective analysis was made on the clinical data of 63 patients with craniofacial brain injury from October 2015 to March 2019 undergoing surgical treatment of bone valve reset fixed,they were divided into study group(31 cases)and control group(32 cases)according to the different cranial reset fixed materials.The bone flap reset was fixed using the retaining body(square head screw and straight bone plate 4 holes)which could be absorbed in the fracture in the study group,and the bone flap reset was fixed using the 2.0 mm bone plate and 2.0 mm×5 mm titanium nail in the control group.The operative time,the total incidence of postoperative complications,the satisfaction of skull shape,the influence of postoperative imaging examination and the absorption of fixed materials were compared between the two groups.Results There were no significant differences in operation time,total incidence of postoperative complications and satisfaction of skull shape between the two groups(P>0.05).There was no artifact interference in postoperative CT,MRI,and X-ray imaging examinations in the study group,while the control group had clear metal artifact interference in postoperative CT,MRI,and X-ray imaging examinations;the fixation material in the study group was absorbed 8 to 18 months after surgery,and the metal plate in the control group had no absorption in the follow-up.Conclusion In the reduction and fixation of the bone flap during the operation of children with brain injury,there are no significant differences between the absorbable fracture internal fixation body and the metal fixation material in operation time,total incidence of postoperative complications and satisfaction with shaping.The fixation material can be completely absorbed after internal fixation of absorbable fractures,and it has no artifact interference to imaging examination,avoids carrying metal foreign bodies th
作者
黄陈铭
周希汉
黄瑞宏
李文生
肖连福
林进平
HUANG Chen-ming;ZHOU Xi-han;HUANG Rui-hong;LI Wen-sheng;XIAO Lian-fu;LIN Jin-ping(Department of Neurosurgery,the Second Hospital of Sanming City(the Fifth Clinical College of Fujian University of Traditional Chinese Medicine),Fujian Province,Yongan366000,China)
出处
《中国当代医药》
2020年第28期157-159,共3页
China Modern Medicine
关键词
儿童颅脑损伤
骨瓣复位
可吸收骨折内固定体
金属接骨板
Children′s skull fractures
Reply to bone
Absorbable fracture internal retainers
Metal bone plate
