骨质疏松性翼状胬肉开颅术:患者方面的手术成功率。

Eyup Varol, Furkan Avci, Mustafa Umut Etli, Ali Fatih Ramazanoglu, Serdar Onur Aydin, Abuzer Gungor, Mehmet Resit Onen, Cumhur Kaan Yaltirik
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摘要

目的:翼点入路在神经外科是一种常见的手术方法,但它有广泛的并发症,包括颞部凹陷。大多数翼点开颅术后颞叶凹陷的患者在余生中都有心理、身体和社会问题。本研究的目的是探讨骨修复翼点开颅术对颞叶凹陷及其后遗症的影响。材料与方法:对97例经翼点开颅动脉瘤手术的患者进行回顾性分析。其中63例为常规翼点入路,34例为骨修复翼点入道。在术后6个月的双侧CT上计算颞肌体积,并比较传统翼点入路和骨修复入路之间的差异。结果:97名患者被纳入研究,其中45名为女性,52名为男性。这些患者的平均年龄为50.37岁。在常规组的患者中,31人为女性,32人为男性。在骨修复组的患者中,14人为女性,20人为男性。骨整形入路组的左右颞肌体积差异没有统计学意义,而传统翼点入路组与非手术侧相比,颞肌体积略有下降。结论:本研究表明,骨修复翼点入路在保持肌肉体积和功能方面优于传统翼点入法。与使用传统翼点入路进行开颅手术的患者相比,接受骨修复开颅手术的病人对自己的面部外观表现出更高的满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Osteoplastic Pterional Craniotomy: Success Rate of Surgery in Patient Aspect.

Aim: To evaluate the effect of osteoplastic pterional craniotomy on temporal hollowing and its sequelae.

Material and methods: A total of 97 patients who underwent pterional craniotomy for an aneurysm were analyzed retrospectively. Of these 97 patients, 63 underwent surgery via the conventional pterional approach and 34 underwent surgery via the osteoplastic pterional approach. The temporal muscle volume was calculated bilaterally on CT images obtained in the sixth postoperative month. The results obtained in the conventional and osteoplastic approaches were compared.

Results: Of the 97 included patients, 45 were female and 52 were male. The mean patient age was 50.37 years. In the conventional group, 31 were female and 32 were male. In the osteoplastic group, 14 were female and 20 were male. The temporal muscle volume difference between the operated and non-operated side was not statistically significant in the osteoplastic group. However, the volume was slightly lesser on the operated side than on the non-operated side in the conventional group.

Conclusion: The osteoplastic pterional approach is superior to the conventional approach in preserving the muscle volume and function. Patients who underwent osteoplastic craniotomy demonstrated higher levels of satisfaction with their facial appearance compared to those who underwent craniotomy using the conventional pterional approach.

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