Cranial snowflake interlink phaj Ⅱ

cranial (los ntawm Greek κρανίον 'skull') los yog cephalic (los ntawm Greek κεφαλή 'lub taub hau') piav qhia txog qhov ze li cas rau lub taub hau ntawm lub cev.

Qhov tsis xws ntawm pob txha taub hau yog ib feem tshwm sim los ntawm kev qhib craniocerebral raug mob los yog phom tua raug mob, thiab ib feem yog tshwm sim los ntawm kev phais decompression, pob txha taub hau thiab puncture puas los ntawm pob txha taub hau resection.Muaj cov nram qab no etiologies: 1. Qhib craniocerebral raug mob los yog phom puncture raug mob. .Tom qab reamation rau comminuted los yog kev nyuaj siab pob txha taub hau fractures uas yuav txo tau.3.Kev raug mob loj rau lub hlwb lossis lwm yam kev phais mob craniocerebral vim muaj mob yuav tsum tau pob txha disc decompression.4.Loj hlob pob txha pob txha hauv me nyuam.5.Cranial osteomyelitis thiab lwm yam mob ntawm pob txha taub hau nws tus kheej tshwm sim los ntawm kev puas tsuaj pob txha taub hau lossis kev phais ntawm pob txha taub hau.

Clinical manifestations: 1. Tsis muaj tsos mob.Skull defects me dua 3cm thiab cov nyob hauv qab ntawm lub cev nqaij daim tawv thiab occipital leeg feem ntau asymptomatic.2.Skull defect syndrome.Headache, kiv taub hau, xeev siab, tsis muaj zog ceg, ua daus no, tshee, inattention thiab lwm yam kev puas hlwb tshwm sim los ntawm ib tug loj pob txha taub hau defect.3.Encephalocele thiab neurolocational cov tsos mob.Nyob rau hauv cov theem thaum ntxov ntawm pob txha taub hau, mob hlwb edema, lub dural ntawm lub hlwb cov ntaub so ntswg thiab tsim ntawm fungoidal bulge ntawm lub pob txha taub hau, uas yog embedded nyob rau hauv cov pob txha margin, ua rau lub zos ischemic necrosis thiab ua rau ib tug series ntawm cov kab mob. neurological localization cov tsos mob thiab cov cim qhia.4.Pob txha sclerosis.Qhov cheeb tsam ntawm pob txha taub hau tsis zoo tshwm sim los ntawm kev loj hlob tawg hauv cov menyuam yaus nthuav tawm tsis tu ncua, thiab cov pob txha sclerosis nyob ib ncig ntawm cov ntaub ntawv tsis raug.

Cranial kho yog lub ntsiab kev kho mob rau pob txha taub hau defect.Indications rau kev khiav hauj lwm: 1. Cranial defect txoj kab uas hla BBB 0 3cm.2.Txoj kab uas hla ntawm lub pob txha taub hau tsis zoo yog tsawg dua 3cm, tab sis nws nyob hauv qhov cuam tshuam rau kev zoo nkauj.3.Kev ntxhov siab ntawm qhov tsis xws luag tuaj yeem ua rau muaj mob qaug dab peg thiab mob qog nqaij hlav hlwb ua ke nrog kev qaug dab peg.4.Skull defect syndrome tshwm sim los ntawm pob txha taub hau tsis zoo ua rau muaj kev puas siab puas ntsws, cuam tshuam rau kev ua haujlwm thiab lub neej, thiab muaj kev xav tau kev kho.Surgery contraindications: 1. Intracranial los yog incision kab mob tau kho tau tsawg tshaj li ib nrab xyoo.2.Cov neeg mob uas nws cov tsos mob ntawm intracranial siab tsis tau tswj tau zoo.3.Kev puas siab puas ntsws loj heev (KPS <60) lossis tsis zoo prognosis.4.Cov tawv taub hau yog nyias vim yog cov caws pliav ntawm daim tawv nqaij, thiab kev kho yuav ua rau qhov mob tsis zoo los yog tawv taub hau necrosis.Tim sijhawm ntawm kev ua haujlwm thiab cov xwm txheej yooj yim: 1. Lub siab intracranial tau tswj tau zoo thiab ruaj khov.2.Lub qhov txhab kho tag tsis muaj kab mob.3.Yav dhau los, 3 ~ 6 lub hlis ntawm kev kho tom qab thawj zaug kev ua haujlwm tau pom zoo, tab sis tam sim no 6 ~ 8 lub lis piam tom qab kev ua haujlwm thawj zaug tau pom zoo.Qhov kev rov ua dua tshiab ntawm cov pob txha autologous nrov plig plawg faus hauv 2 lub hlis yog qhov tsim nyog, thiab txoj kev txo qis ntawm subcapate. aponeurosis faus yuav tsum tsis pub tshaj 2 lub lis piam.4.Cranial kho tsis pom zoo rau cov menyuam yaus hnub nyoog qis dua 5 xyoos vim tias lub taub hau thiab tus Tsov tus tw loj hlob sai; 5 ~ 10 xyoo tuaj yeem kho tau, thiab kev kho overburden yuav tsum tau saws, thiab cov khoom kho yuav tsum yog 0.5cm dhau ntawm cov pob txha.Tom qab 15 xyoos. Lub hnub nyoog, kho pob txha taub hau zoo ib yam li cov neeg laus. Feem ntau siv cov khoom siv kho: cov khoom siv polymer siab, cov iav organic, pob txha cement, silica, titanium phaj), cov khoom siv pob txha pob txha siv tsawg (muaj), cov khoom siv allograft (xws li hom allograft decalcified , degreasing thiab lwm yam ua los ntawm cov pob txha matrix gelatin), autologous cov ntaub ntawv (ribs, xub pwg hniav, pob txha taub hau, thiab lwm yam), cov ntaub ntawv tshiab, ntxeem tau siab ntom polyethylene, EH puas pob txha pob txha), tam sim no nyob rau hauv cov duab ntawm 3 d reconstruction ntawm titanium phaj feem ntau yog siv.