[1]丁伟龙　王向宇　王晓东.颞肌外与颞肌下颅骨成形术疗效的Meta分析[J].中国临床神经外科杂志,2018,(02):90-92.
　DING Wei-long,WANG Xiang-yu,WANG Xiao-dong..Outside temporalis versus under temporalis for cranioplasty: a meta-analysis of curative effects[J].,2018,(02):90-92.
点击复制

颞肌外与颞肌下颅骨成形术疗效的Meta分析()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年02期
页码:
90-92
栏目:
论著
出版日期:
2018-03-05

文章信息/Info

Title:
Outside temporalis versus under temporalis for cranioplasty: a meta-analysis of curative effects
文章编号:
1009-153X（2018）02-0090-03
作者:
丁伟龙　王向宇　王晓东
作者单位：510630 广州，暨南大学附属第一医院神经外科（丁伟龙、王向宇、王晓东）
Author(s):
DING Wei-long;  WANG Xiang-yu;  WANG Xiao-dong.
Department of Neurosurgery, The First Affiliated Hospital, Ji’nan University, Guangzhou 510630, China
关键词:
颅骨成形术; 颞肌外; 颞肌下; 疗效; Meta分析
Keywords:
Skull defect;  Cranioplasty;  Outside temporalis;  Under temporalis;  Meta analysis
分类号:
R 651.1+1
文献标志码:
A
摘要:
目的 比较颞肌外与颞肌下两种不同颅骨成形术式的疗效。方法 计算机检索PubMed、Medline、EMbase等英文数据库及中国知网、万方、维普等中文数据库，收集对比颞肌下与颞肌外两种颅骨成形术疗效的研究，使用RevMan5.3软件对相关数据进行Meta分析。结果 共纳入11篇相关研究共726例，其中颞肌外组367例，颞肌下组359例。Meta分析结果显示：两种术式术后癫痫发生率、脑内血肿发生率无统计学差异（P>0.05）；颞肌外组手术时间、术中出血少于颞肌下组（P<0.05），而术后咀嚼受限发生率及外观异常发生率大于颞肌下组（P<0.05）。结论 颞肌外颅骨成形术较颞肌下成形术的手术时间及术中出血较少，但术后易发生咀嚼受限及外观异常。
Abstract:
Objective To evaluate the effectiveness and the safety of surgery outside temporalis and one under temporalis for cranioplasty in the patients with skull defect. Methods A literature search of data banks including PubMed, Medline, EMbase, CNKI, Wanfang Datebase, VIP was made for the original articles about surgery outside temporalis versus one under temporalis for cranioplasty. Meta analysis of the data was performed by RevMan5.3 software. Results Eleven articles involving 726 patients, of whom, 367 received cranioplasty outside temporalis and 359 received cranioplasty under temporalis were derived from the data banks. Meta-Analysis revealed that the operative duration and the intraoperative blood loss volume were significantly less, and the postoperative chew-limited rate and abnormal appearance rate were significantly higher in the patients receiving the cranioplasty outside temporalis than those in the patients receiving the cranioplasty under temporalis (P<0.05). There were insignificant differences in the postoperative seizure rate and the intracranial hematoma rate between the two groups (P<0.05). Conclusions The cranioplasty outside temporalis may require less operative time and cause less intraoperative blood loss, but it may more easily cause limited chew and abnormal appearance compared to the cranioplasty under temporalis in the patients with skull defects receiving craniotomy.

参考文献/References:

[1] Zanaty M, Chalouhi N, Starke RM, et al. Complications following cranioplasty: incidence and predictors in 348 cases [J]. J Neurosurg, 2015, 123(1): 182-188.
[2] 陈洪武，金　波，李祖晟，等. 颞肌外和颞肌下两种术式在 额颞区颅骨修补术中的应用比较[J]. 浙江医学，2011，33 （1）：33-34.
[3] 邓晓松，赵云飞，王　腾，等. 大骨瓣减压术后颞肌外与 颞肌下颅骨修补手术的临床比较[J]. 安徽医学，2014， （6）：840-841.
[4] 黄警锐，肖　虹，程凯敏. 比较标准大骨瓣减压术后行颞 肌下和颞肌外两种颅骨修补术的临床疗效及特点[J]. 重 庆医科大学学报，2011，36（9）：1132-1134.
[5] 江耿思，修俊刚，王振宁，等. 颞肌外与颞肌下颅骨修补方 法早期并发症的比较[J]. 中华神经创伤外科电子杂志， 2015，1（4）：12-15.
[6] 江　辉，杨佳宁，徐　凡. 颞肌外和颞肌下颅骨修补术疗 效分析[J]. 浙江创伤外科，2017，22（1）：25-27.
[7] 景雪峰，关俊宏. 颞肌外与颞肌下修补手术在外伤大骨瓣 减压术后早期颅骨修补术中的临床分析[J]. 中国煤炭工 业医学杂志，2015，18（12）：1999-2005. （下转第95页） （上接第92页）
[8] 李先松，陈治标. 颞肌外和颞肌下颅骨修补术治疗颅骨缺 损 57 例效果观察[J]. 实用医院临床杂志，2013，10（6）： 191-192.
[9] 宁锦龙，黄剑峰，易椿均，等. 颞肌下和颞肌外两种颅骨修 补术式的临床疗效对比[J]. 中国临床神经外科杂志， 2013，（1）：39-41.
[10] 王　辉，刘万荣，魏　忠，等. 颞肌下和颞肌外两种颅骨修 补术式的临床疗效对比[J]. 安徽医药，2014，18：302-304.
[11] 魏林节，赵其军，文朝远，等. 高原地区颞肌下与颞肌外颅 骨修补术的疗效分析[J]. 立体定向和功能性神经外科杂 志，2014，27（6）：367-368.
[12] 杨春红，陈　勇. 大骨瓣减压术后颞肌下与颞肌外颅骨修 补的疗效分析[J]. 临床医药文献杂志 （电子版），2016， 3（29）：5793-5794.
[13] Honeybul S, Ho KM. Decompressive craniectomy for severe traumatic brain injury: the relationship between surgical complications and the prediction of an unfavourable out- come [J]. Injury, 2014, 45(9): 1332-1339.
[14] 宋　健，杜　浩，刘　敏，等. 早期颅骨修补术对颅骨缺损 患者脑灌注及生存质量的影响[J]. 中国临床神经外科杂 志，2013，18（5）：274-275.
[15] Sundseth J, Sundseth A, Berg-Johnsen J, et al. Cranioplasty with autologous cryopreserved bone after decompressive craniectomy: complications and risk factors for developing surgical site infection [J]. Acta Neurochir (Wien), 2014, 156 (4): 805-811.
[16] Shibahashi K, Hoda H, Takasu Y, et al. Cranioplasty out- comes and analysis of the factors influencing surgical site infection: a retrospective review of more than 10 years of institutional experience [J]. World Neurosurg, 2017, 101: 20-25.

相似文献/References:

[1]王　刚　袁以刚　胡跃云.改良颞肌外术式修补额颞部颅骨缺损（附55例病例分析）[J].中国临床神经外科杂志,2015,(10):630.[doi:10.13798/j.issn.1009-153X.2015.10.018]
[2]吴广源　尹　卫　郑思阳　齐　辉.自体颅骨碎屑一期修复颅神经微血管减压术骨窗的临床观察[J].中国临床神经外科杂志,2015,(06):364.[doi:10.13798/j.issn.1009-153X.2015.06.016]
[3]任瑞明　成文平　李会兵　申彦杰　朱金钊　张　坤　程东亮　楚鹏飞.颅脑损伤去骨瓣减压术后超早期颅骨成形术的疗效分析[J].中国临床神经外科杂志,2016,(08):471.[doi:10.13798/j.issn.1009-153X.2016.08.009]
　REN Rui-ming,CHENG Wen-ping,LI Hui-bing,et al.Curative effect of cranioplasty ultra-early after decompressive craniectomy on patients with severe traumatic brain injury[J].,2016,(02):471.[doi:10.13798/j.issn.1009-153X.2016.08.009]
[4]王志明,殷尚炯,曹藏柱,等.塑形钛网颅骨成形术后并发症的原因及防治[J].中国临床神经外科杂志,2016,(11):698.[doi:10.13798/j.issn.1009-153X.2016.11.015]
[5]王志明　孟文博　程月飞　曹藏柱　黄立超　季晓军.塑形钛网修补双额部无骨桥大面积颅骨缺损9例[J].中国临床神经外科杂志,2017,(01):44.[doi:10.13798/j.issn.1009-153X.2017.01.017]
[6]陈　浪　严正村　佘　磊　董　伦　张恒柱　王晓东　魏　民　王杏东.脑室-腹腔分流术联合颅骨成形术治疗颅脑损伤去骨板减压术后脑积水[J].中国临床神经外科杂志,2017,(08):593.[doi:10.13798/j.issn.1009-153X.2017.08.026]
[7]陈　俊　周赤忠　刘　融.颅骨修补材料运用现状及3D打印技术在其制备工艺中的应用展望[J].中国临床神经外科杂志,2017,(08):597.[doi:10.13798/j.issn.1009-153X.2017.08.004]
[8]罗　飞　王文浩　林　洪　胡连水　李　君　林俊明　黄　巍.粉碎性颅骨骨折合并硬膜外血肿的手术处理[J].中国临床神经外科杂志,2017,(09):658.[doi:10.13792017.09/j.issn.1009-153X.2017.09.018]
[9]阿木约布 王俊勇 廉坤 徐蔚.颅骨成形术后钛网外露原因分析及防治[J].中国临床神经外科杂志,2017,(10):698.[doi:10.13792017.09/j.issn.1009-153X.2017.10.009]
　AMU Yue-bu,WANG Jun-yong,LIAN Kun,et al.Analysis of cause and prevention of titanium mesh exposure after digital cranioplasty[J].,2017,(02):698.[doi:10.13792017.09/j.issn.1009-153X.2017.10.009]
[10]桂志勇 杨明 叶党华 黄俊红 王群涛 赵晓生 白敬洋.颞肌成形在颅骨成形术中的临床应用[J].中国临床神经外科杂志,2017,(10):701.[doi:10.13792017.09/j.issn.1009-153X.2017.10.010]
　GUI Zhi-yong,YANG Ming,YE Dang-hua,et al.Clinical application of temporalis myoplasty during cranioplasty in patients with cranial defects[J].,2017,(02):701.[doi:10.13792017.09/j.issn.1009-153X.2017.10.010]

备注/Memo

备注/Memo:
通讯作者：王向宇，E-mail：wang_xy123@126.com
更新日期/Last Update: 2018-03-05