医用胶在微血管减压术中颅骨固定的运用研究

doi:10.3969/j.issn.1009-976X.2024.05.005

摘要/Abstract

摘要： 目的探讨微血管减压（MVD）手术中应用医用胶固定颅骨的临床疗效与安全性。方法回顾性分析MVD手术中使用医用胶粘合固定颅骨患者的临床资料,总结颅骨固定疗效及术后并发症。结果共纳入198例患者,中位随访时间24.50（14.00,47.75）月。术后复查头颅CT显示骨瓣无明显吸收及移位,固定良好。所有患者均未出现过敏、毒性等不良反应,其中8例患者出现并发症,包括2例（1.01%）因三叉神经痛复发再次手术治疗,5例（2.53%）伤口脑脊液漏,1例（0.51%）伤口感染。结论医用胶应用于MVD术中颅骨固定疗效确切,安全性好,因其安全、廉价、简单、快速、体内不遗留异物、不影响影像学成像等优点。

关键词: 医用胶, 氰基丙烯酸酯, 微血管减压, 颅骨, 固定

Abstract: Objective To investigate the efficacy and safety of cyanoacrylate using in cranial fixation following microvascular decompression （MVD）. Methods The clinical data of patients, who were used cyanoacrylate in cranial fixation following MVD, was retrospectively analyzed. The efficacy of cranial fixation and incidence of postoperative complications was summarized. Results A total of 198 patients were included, and the median follow-up time was 24.50 （14.00,47.75） months. The postoperative head CT showed no obvious absorption and displacement of the bone flap, and achieved good fixation. None of the patients had any adverse reactions such as allergy or toxicity. Eight patients had postoperative complications, including 2 patients （1.01%） underwent re-operation due to the recurrence of trigeminal neuralgia, 5 patients （2.53%） of cerebrospinal fluid leakage, and 1 patient （0.51%） of surgical wound infection. Conclusion The application of cyanoacrylate in cranial fixation following MVD has definite efficacy and good safety. Due to its advantages of safety, cheap, simple, rapid, no retained foreign body, and no influence on imaging, it is worthy of clinical application.

Key words: cyanoacrylate, microvascular decompression, skull, fixation

中图分类号:

R651

马文超, 邹林波, 叶锋, 吴小明, 杨与敏, 龙晓东. 医用胶在微血管减压术中颅骨固定的运用研究[J]. 岭南现代临床外科, 2024, 24(05): 296-300.

MA Wen-chao, ZOU Lin-bo, YE Feng, WU Xiao-ming, YANG Yu-min, LONG Xiao-dong. Application research of using cyanoacrylate in cranial fixation following microvascular decompression[J]. Lingnan Modern Clinics In Surgery, 2024, 24(05): 296-300.

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