Effectiveness of zigzag Incision and 1.5-Layer method for frontotemporal craniotomy.
Effectiveness of zigzag Incision and 1.5-Layer method for frontotemporal craniotomy.
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DOI：
10.4103/2152-7806.132562
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发表时间：
2014
影响因子：
--
通讯作者：
Morita A
中科院分区：
文献类型：
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作者：
Minami N;Kimura T;Uda T;Ochiai C;Kohmura E;Morita A
在这个微创治疗的时代，手术疤痕尽可能不显眼是很重要的，在日常实践中还有很大的改进空间。冠状切口之字形切口主要在整形外科领域有描述，其在普通神经外科皮肤切口中的适用性尚未见报道。2011年4月至2012年8月，对14例未破裂脑动脉瘤患者采用1.5层锯齿形切口。自2010年4月起，使用SF-36 v2对未破裂动脉瘤患者进行问卷调查。比较锯齿形切口患者与传统切口患者的结果。没有与手术伤口相关的并发症。在问卷调查中，锯齿形切口患者的所有参数均趋于更好，锯齿形切口组的角色社会成分评分（RCS）显著高于传统切口组（P =0.0436）。锯齿形切口使用1.5层的方法与额颞开颅术似乎代表了一个改善传统的曲线切口方面的美容效果和RCS。
In this era of minimally invasive treatment, it is important to make operative scars as inconspicuous as possible, and there is a great deal of room for improvement in daily practice. Zigzag incision with coronal incision has been described mainly in the field of plastic surgery, and its applicability for skin incision in general neurosurgery has not been reported. Zigzag incision with 1.5-layer method was applied to 14 patients with unruptured cerebral aneurysm between April 2011 and August 2012. A questionnaire survey was administered among patients with unruptured aneurysm using SF-36v2 since April 2010. The results were compared between patients with zigzag incision and a previous cohort with traditional incision. There were no cases of complications associated with the operative wound. In the questionnaire survey, all parameters tended to be better in the patients with zigzag incision, and role social component score (RCS) was significantly higher in the zigzag group than in the traditional incision group (P =0.0436). Zigzag incision using the 1.5-layer method with frontotemporal craniotomy seems to represent an improvement over the conventional curvilinear incision with regard to cosmetic outcome and RCS.