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首页> 外文期刊>British journal of neurosurgery >Autologous cranioplasty following decompressive craniectomy in the trauma setting
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Autologous cranioplasty following decompressive craniectomy in the trauma setting

机译：创伤性颅骨减压术后的自体颅骨成形术

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Background. Decompressive craniectomy (DC) is an option for the treatment of increased intracranial pressure resulting from an acute neurological insult, including insults caused by trauma. When the brain swelling has receded, the skull is reconstructed with a wide choice of materials, each with its own advantages and disadvantages in terms of cost, cosmetic appearance, biocompatibility, implant strength and complication rate. Autologous cranioplasty (AC), where the patient's own bone flap is stored and reutilised, is common in many countries. No outcome studies have, however, been published on this technique for traumatic injuries. Methods. A retrospective study was conducted including all AC operations performed following DC due to traumatic brain injury. All operations were performed in one institution during a 4-year time period. Results were analysed for complication rates. Results. 44 cases were included. The mean time from craniotomy to cranioplasty was 86 (95% CI: 63-109) days. Complications severe enough to warrant readmission or further surgery were found in 13 cases (30%). No statistically significant predictor of complication from cranioplasty was detected. The complication rate was similar to published data on cranioplasty using artificial prosthetic materials. Conclusions. AC in the trauma setting is a valid treatment option with a complication rate that seems no worse than other alternatives.
机译：背景。减压颅骨切除术（DC）是治疗因急性神经损伤（包括创伤引起的损伤）而导致颅内压升高的一种选择。当大脑肿胀消退时，可以使用多种材料来重建颅骨，每种材料在成本，外观，生物相容性，植入物强度和并发症发生率方面都各有优缺点。自体颅骨成形术（AC）是患者自己的骨瓣存储和再利用的地方，在许多国家都很普遍。然而，尚未有关于这种技术用于创伤性损伤的结果研究发表。方法。进行了一项回顾性研究，包括由于颅脑损伤而在DC之后进行的所有AC手术。所有操作都在一个机构中进行，为期4年。分析结果的并发症发生率。结果。其中包括44例。从开颅手术到颅骨成形术的平均时间为86（95％CI：63-109）天。 13例（30％）被发现足以导致再次入院或进一步手术的严重并发症。没有检测到颅骨成形术并发症的统计学显着预测因素。并发症发生率与使用人工修复材料的颅骨成形术发表的数据相似。结论创伤性环境中的AC是一种有效的治疗方案，其并发症发生率似乎并不比其他替代方案差。

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