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摘要
Objective: The purpose of this study is to analyse the image features and complication of early cranioplasty using titanium mesh in both infants and children. Methods: A total of 35 infants or children with craniocerebral trauma or hypertensive cerebral hemorrhage were selected and randomly divided into 2 groups. According to the size of the bone window, we design the titanium mesh using a computerized 3D shaping technology. Titanium mesh was used to cover titanium window mesh on the bone window margin. Then, 0.05% chlorhexidine and 10% povidone iodine were applied before saline solution with gentamicin was repeatedly irrigating the field during operation. Results: No significant difference was found in the gender, age, size of the bone flap between 2 groups (P > 0. 05). There were no statistically significant differences between CP group and WCP group of patients with regards to the rate of complications, with the exception of subscalp effusion. In the CP group, no incidences of surgical site infection, intracerebral hemorrhage and wound dehiscence were recorded; In the WCP group, no incidences of intracerebral hemorrhage and wound dehiscence were recorded. Demographic trait, including sex, age, and size of bone flap had no statistically significant risk factors for surgical site infection. Conclusion: Cranioplasty using titanium mesh has lower incidence of subscalp effusion as compared with cranioplasty without titanium mesh. On the other hand, the other complications, such as surgical site infection, epidural hematoma, intracerebral hemorrhage, wound dehiscence, and epileptic seizure, has no significant differences between groups. No surgical site infection related factors were found in our study.
- 出版日期2018-6
- 单位重庆市急救医学研究所; 深圳市儿童医院
