减压性脑切割切口:所有道路都通向骨头
Riccardo Serra1, Timothy Chryssikos1
1Department of Neurosurgery, University of Maryland, Baltimore, MD, USA.
British journal of neurosurgery
|April 23, 2024
概括
选择正确的头皮切口进行切或切术至关重要. 与传统的问号切口相比,新的切口,如T-Kempe和N形切口,提供了更好的血管供应,并减少了并发症.
科学领域:
- 神经外科 神经外科
- 手术技巧 手术技巧
背景情况:
- 解压式切除术和切除术是常见的神经外科手术程序.
- 头皮切口技术对于患者的治疗结果至关重要,它会影响血管供应,化品效果和并发症率.
研究的目的:
- 审查目前关于头皮切口的大型单侧前--骨切口和骨切口的文献.
- 评估各种头皮切口类型的优点,缺点和并发症风险.
主要方法:
- 在过去的50年里,关于额头--骨切割/切割的头皮切割的出版物的系统审查.
- 分析了27项遵循PRISMA指南的全文研究.
主要成果:
- 讨论了五种主要的切口类型:问号,T-Kempe,后耳,N形和三叶草.
- 每个切口在骨的进入,血管供应的保存,化品的结果,以及伤口并发症的风险,如枯,亡和感染.
结论:
- 传统的反向问号切口对头皮血管和伤口愈合构成风险.
- 替代的切口,如T-Kempe, retroauricular,N形和三叶草,旨在保持血管供应.
- 切口选择需要仔细考虑患者的解剖学,血管状态和所需的减压程度.
相关概念视频
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