颅骨成形术后钛网外露预防和创面修复全国专家共识（2024版）

中国医师协会创面修复专业委员会

doi:10.3760/cma.j.cn501225-20240203-00047

颅骨成形术后钛网外露预防和创面修复全国专家共识（2024版）

doi: 10.3760/cma.j.cn501225-20240203-00047

中国医师协会创面修复专业委员会

基金项目:

国家自然科学基金面上项目 81772084

详细信息

通信作者：张丕红,中南大学湘雅医院烧伤整形外科,长沙 410008,Email：zphong@aliyun.com付小兵,解放军总医院医学创新研究部创伤修复与组织再生研究中心,北京 100853,Email：fuxiaobing@vip.sina.com黄跃生,南方科技大学医院创面修复科南方科技大学医学院创面修复与再生医学研究所,深圳 518055,Email：yshuang1958@163.com

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出版历程
- 收稿日期: 2024-02-03

National expert consensus on the prevention and wound repair of titanium mesh exposure after cranioplasty (2024 edition)

Funds:

General Program of National Natural Science Foundation of China 81772084

摘要

摘要: 颅骨成形术后发生的钛网外露是该术式最严重的并发症,尽管多年来临床上逐渐积累了一些针对钛网外露的诊治经验,但由于对其发生机制和并发感染的认识不足,治疗往往欠规范,难以达到令人满意的修复效果。为规范颅骨成形术后钛网外露创面的诊治,改善其治疗效果和患者生存质量,中国医师协会创面修复专业委员会组织专家讨论,基于国内外颅骨成形术后钛网外露创面的文献资料和诊疗现状,在颅骨成形术后钛网外露的发生机制、预防措施与诊治策略等方面达成了共识,以供相关临床医师参考。
- 头部损伤,穿透性 /
- 手术后并发症 /
- 外科皮瓣 /
- 颅骨成形术 /
- 钛网外露 /
- 创面修复 /
- 专家共识
Abstract: Titanium mesh exposure after cranioplasty is the most serious complication of this procedure. Although some clinical experience has been gradually accumulated over the years in the diagnosis and treatment of titanium mesh exposure, the treatment is often not standardized and it is difficult to achieve satisfactory repair results due to insufficient understanding of its pathogenesis and concurrent infections. To normalize the diagnosis and treatment of titanium mesh exposed wounds after cranioplasty and improve the therapeutic effect and the quality of life of patients, the Wound Repair Professional Committee of Chinese Medical Doctor Association organized an expert discussion based on the literature and current diagnosis and treatment status of titanium mesh exposed wounds after cranioplasty at home and abroad, and reached a consensus on the pathogenesis, preventive measures, and diagnosis and treatment strategies of titanium mesh exposed wounds after cranioplasty to provide reference for relevant clinicians.
- Head injuries, penetrating /
- Postoperative complications /
- Surgical flaps /
- Cranioplasty /
- Titanium mesh exposure /
- Wound repair /
- Expert consensus
所有编写组成员均声明不存在利益冲突,无商业组织向本共识编写组支付费用。本共识制订过程中需要的资金均来自国家自然科学基金面上项目（81772084）,且推荐意见未受资助影响

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参考文献(57)

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图 1 颅骨成形术后钛网外露创面的处理措施简图

《颅骨成形术后钛网外露预防和创面修复全国专家共识（2024版）》编写组

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Table 1. 2011版牛津大学循证医学中心证据等级标准

证据级别	具体描述
1级	基于随机对照试验或单人交叉临床试验的系统性文献回顾,对随机性研究的系统综述
2级	随机对照试验或效果显著的观察性研究
3级	非随机性、对照性队列研究或随访研究
4级	病例系列、病例对照研究或历史对照研究
5级	基于机制的推论