摘要对于颅缝早闭症的治疗,传统全颅骨重建术创伤大、时间长、并发症多,因而学者们开始探讨并提出了弹簧辅助牵引(spring-assisted surgery,SAS)的手术方式,经过20年的临床实践证实,SAS具有损伤小、头颅指数及外观恢复好等优势,逐渐成为早期颅缝早闭治疗的重要方式之一.作者通过复习近20年来各颅颌面专家团队发表的SAS相关文献,重点阐述了SAS的各种手术方法及可能出现的手术并发症,对SAS的产生、适应证、成骨原理、预后情况及发展前景等进行了介绍.

abstractsTraditional total cranial vault reconstruction for craniosynostosisis traumatic with long operative time and many serious complication. A brand new surgery technique, spring-assisted surgery ( SAS) ,has been invented and performed for 20 years. It showed that SAS has the advantages of less invasive and good result. It has gradually become one of the important methods to treat early craniosynostosis. This article reviewed the SAS related literatures in the past 20 years, focusing on various surgical methods of SAS and possible surgical complications. The osteogenesis principle, prognosis and development of SAS were also summerized.