cranial snowflake interlink plate Ⅱ

cranial (kubva muchiGiriki κρανίον 'skull') kana kuti cephalic (kubva muchiGiriki κεφαλή 'head') inotsanangura kuti chinhu chiri pedyo sei nemusoro wechinhu chipenyu.

Kukanganisika kwedehenya kunokonzereswa nekuvhurika craniocerebral trauma kana kukuvara kwepfuti, uye pamwe kunokonzerwa nekuvhiyiwa kuora, maronda edehenya uye kukuvadzwa kwedehenya. Pane zvinotevera etiologies: 1. Open craniocerebral trauma kana kukuvara kwepfuti. .Mushure mekudzokorora kune comminuted kana kuora mwoyo kutsemuka kwedehenya risingagoni kuderedzwa.3.Kukuvadzwa kwakanyanya kwehuropi kana mamwe marudzi ekuvhiyiwa kwecraniocerebral nekuda kwekurwara kunoda bone disc decompression.4.Kukura kwedehenya muvana.5.Cranial osteomyelitis uye mamwe maronda edehenya pacharo anokonzerwa nekubaya dehenya kuparadzwa kana kuvhiya kubviswa kwedehenya maronda.

Clinical kuratidzwa: 1. Hapana zviratidzo.Dehenya remadiki madiki pane 3cm uye ayo ari pasi penguva uye occipital tsandanyama kazhinji asymptomatic.2.Skull defect syndrome.Musoro, dzungu, kusvotwa, kupera simba kwenhengo, kupindwa nechando, kudedera, kusatarisisa uye zvimwe zviratidzo zvepfungwa zvinokonzerwa nekuremara kwedehenya guru.3.Incephalocele uye neurolocational zviratidzo.Pakutanga kwedehenya chirema, yakanyanya uropi edema, dural yehuropi tishu uye kuumbwa kwefungoidal bulge padehenya remusoro, iro rakaiswa pamucheto webhonzo, rakakonzera local ischemic necrosis uye yakakonzera nhevedzano ye neurological localization zviratidzo uye zviratidzo.4.Bone sclerosis.Nzvimbo yedehenya chinokanganisa chinokonzerwa nekuputsika kwekukura muvana inowedzera nguva dzose, uye bone sclerosis yakakomberedza maitiro ekuremara.

Cranial repair ndiyo nzira huru yekurapa yedehenya defect.Zviratidzo zvekushanda: 1. Cranial defect diameter BBB 0 3cm.2.Kuremara kwedehenya kuri pasi pe3cm, asi inowanikwa muchikamu chinokanganisa aesthetics.3.Kudzvinyirirwa pakuremara kunogona kukonzera pfari uye kuumbwa kwevanga reuropi rinoperekedzwa nepfari.4.Skull defect syndrome inokonzerwa nekuremara kwedehenya inokonzera kuremerwa kwepfungwa, inokanganisa basa nehupenyu, uye ine chido chekugadzirisa.Kuvhiya kunopesana: 1. Intracranial kana incision infection yakarapwa kwenguva isingasviki hafu yegore.2.Varwere vane zviratidzo zvekuwedzera intracranial pressure hazvina kunyatsogadziriswa.3.Kusashanda zvakanaka kwetsinga (KPS <60) kana kutadza kurongeka.4.Musoro wepamusoro wakatetepa nekuda kwekuwanda kweganda, uye kugadzirisa kunogona kukonzera kupora kweronda rakashata kana scalp necrosis.Nguva yekushanda uye mamiriro ezvinhu ekutanga: 1. The intracranial pressure yakave yakanyatsogadziriswa uye yakagadzikana.2.Ronda racho rakapora zvachose pasina utachiona.3.Munguva yakapfuura, 3 ~ 6 mwedzi yekugadzirisa mushure mekushanda kwekutanga kwakakurudzirwa, asi ikozvino 6 ~ 8 masvondo mushure mekushanda kwekutanga kunokurudzirwa.Kudzoreredzwa kwe autologous bone flap yakavigwa mukati memwedzi ye2 yakakodzera, uye nzira yekuderedza traction ye subcapate. aponeurosis yakavigwa haifaniri kudarika mavhiki maviri.4.Cranial kugadziriswa hakukurudzirwe pasi pemakore mashanu nekuti musoro nemuswe zvinokura nekukurumidza; 5 ~ 10 yemakore inogona kugadziriswa, uye kugadziriswa kwemutoro kunofanirwa kutorwa, uye zvinhu zvekugadzirisa zvinofanirwa kunge zviri 0.5cm kupfuura pfupa margin. Mushure memakore gumi nemashanu zera, kugadzira dehenya kwakafanana nevakuru.Inowanzo shandiswa kugadzirisa zvinhu: yakakwira polymer zvinhu, organic girazi, bone simenti, silica, titanium plate), allograft bone zvinhu zvinoshandisa zvishoma (ane), allograft zvinhu (semhando yeallograft decalcified , degreasing uye kumwe kugadziridzwa kwakaitwa bhonzo matrix gelatin), autologous zvinhu (mbabvu, mapendekete, dehenya, nezvimwewo), zvinhu zvitsva, porous high density polyethylene, EH composite artificial bone), ikozvino muchimiro che 3 d kuvakwazve kwe titanium ndiro inonyanya kushandiswa.