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 inopinda, uye pamwe inokonzerwa nekuvhiyiwa decompression, 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. Encephalocele uye neurolocational zviratidzo.Pakutanga kwedehenya chirema, uropi hwakanyanya edema, dural of brain tissue uye kuumbwa kwe fungoidal bulge pa dehenya defect, iyo yakabatanidzwa pamucheto webhonzo, yakakonzera local ischemic necrosis uye yakakonzera nhevedzano yetsinga dzenharaunda zviratidzo nezviratidzo.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 kufungidzira.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 e2.4. Kugadziriswa kweCranial hakukurudzirwi pasi pemakore mashanu nokuti musoro nemuswe zvinokura nokukurumidza; 5 ~ 10 yemakore inogona kugadziriswa, uye kugadziriswa kwemutoro kunofanira kugamuchirwa, uye zvinhu zvekugadzirisa zvinofanira kuva 0.5cm kupfuura pfupa margin.Pashure pemakore gumi nemashanu, kugadziriswa kwehenya kwakafanana nevakuru.Inowanzo shandiswa kugadzirisa zvinhu: high polymer, bone plateti, organic cement, silicanium zvinhu shandisa zvishoma (ane), allograft zvinhu (semhando yeallograft decalcified, degreasing uye kumwe kugadziridzwa kwakagadzirwa nefupa matrix gelatin), autologous zvinhu (mbabvu, mashizha emafudzi, dehenya, nezvimwewo), zvinhu zvitsva, porous high density polyethylene, EH composite artificial bone), ikozvino muchimiro che 3 d yakawanda inoshandiswa patsva.