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作者介绍一种新的简易颅骨成形术;其制作迅速,材料经济,修补精确,整容效果好。第二次世界大战后开始用自动聚合的丙烯酸树脂作颅骨成形术。而后由于一般神经外科、特别是创伤神经外科的发展,采用过各种材料和方法。这一领域的革新主要是使用材料方面。金属及其它材料较为安全,而且并发症较少,但同时在精密合适方面尚待改进。目前有些新的方法应用于颅骨成形术,Blair等(1976)用细螺丝钉把钛条固定于小型颅骨缺损处。Unda-Baena等(1976)在手术中将丙烯树脂敷在一层纱布上,然后固定在颅骨缺损区的硬脑膜上。最近Cooper等(1977)报告在手术前用甲基——甲丙烯制成模型的方法,很象作者的方法,这种新方法的要点是在手术前制成颅骨成形修补物,使手术很快,而且更为美观。
The authors introduce a new simple cranioplasty; its rapid production, material economy, accurate repair, plastic surgery effect. After the Second World War began with automatic polymerization of acrylic resin for cranioplasty. Later, due to the general neurosurgery, especially the development of traumatic neurosurgery, various materials and methods were used. Innovation in this area is mainly the use of materials. Metals and other materials are safer and have fewer complications, but at the same time there is room for improvement in precision and fit. At present, some new methods are applied to cranioplasty. Blair et al. (1976) fasten the titanium bar to the small skull defect with a thin screw. Unda-Baena et al. (1976) applied acrylic resin to a layer of gauze during surgery and then fixed it to the dura in the area of the skull defect. Recently, Cooper et al. (1977) reported a method of modeling with methyl-propene prior to surgery much like the authors' method. The point of this new method is to make a skull shaped prosthesis before surgery to make the operation very fast , But also more beautiful.