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Трансплантология

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Современные материалы для реконструкции костей свода черепа

https://doi.org/10.23873/2074-0506-2019-11-3-234-243

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Аннотация

Введение. Необходимость в проведении краниопластики возникает после удаления костных структур свода черепа. Краниотомия может выполняться как экстренно, в случае повышения внутричерепного давления, так и в плановом порядке при лечении новообразований онкологического генеза или абсцессов. Наличие в течение продолжительного времени обширного костного дефекта является причиной развития синдрома «трепанированного черепа». В настоящее время краниопластику осуществляют материалами синтетического или при- родного происхождения. К синтетическим материалам относят гидроксиапатит, трикальцийфосфат и по- лиметилметакрилат. К природным – ауто-, алло- и ксенотрансплантаты. Основным недостатком костных аутотрансплантатов остается их быстрый лизис. К наиболее перспективному решению данной проблемы может относиться метод лиофилизации с насыщением трансплантата факторами роста, источником которых может служить богатая тромбоцитами аутоплазма. Особо актуальным является разработка способов подготовки и сохранения аутотрансплантата, его модификации с целью повышения остеорепаративных свойств, что позволит вывести метод краниопластики природными трансплантатами на качественно но- вый уровень.

Цель исследования. Объединить актуальные данные и результаты всестороннего анализа преимуществ и недостатков существующих костно-пластических материалов.

Об авторах

А. А. Офицеров
ГБУЗ «НИИ скорой помощи им Н.В. Склифосовского ДЗМ»
Россия

врач-хирург отделения консервирования тканей и производства трансплантатов,

129090, Россия, Москва, Большая Сухаревская пл., д. 3


Н. В. Боровкова
ГБУЗ «НИИ скорой помощи им Н.В. Склифосовского ДЗМ»
Россия

д-р мед. наук, заведующая научным отделением биотехнологий и трансфузиологии,

129090, Россия, Москва, Большая Сухаревская пл., д. 3


А. Э. Талыпов
ГБУЗ «НИИ скорой помощи им Н.В. Склифосовского ДЗМ»
Россия

д-р мед. наук, ведущий научный сотрудник отделения неотложной нейрохирургии,

129090, Россия, Москва, Большая Сухаревская пл., д. 3


И. H. Пономарев
ГБУЗ «НИИ скорой помощи им Н.В. Склифосовского ДЗМ»
Россия

канд. мед. наук, научный сотрудник отделения биотехнологий и трансфузиологии,

129090, Россия, Москва, Большая Сухаревская пл., д. 3


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Для цитирования:


Офицеров А.А., Боровкова Н.В., Талыпов А.Э., Пономарев И.H. Современные материалы для реконструкции костей свода черепа. Трансплантология. 2019;11(3):234-243. https://doi.org/10.23873/2074-0506-2019-11-3-234-243

For citation:


Ofitserov A.A., Borovkova N.V., Talypov A.E., Ponomarev I.N. Modern materials for the reconstruction of the cranial vault bones. Transplantologiya. The Russian Journal of Transplantation. 2019;11(3):234-243. https://doi.org/10.23873/2074-0506-2019-11-3-234-243

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ISSN 2074-0506 (Print)
ISSN 2542-0909 (Online)