摘要
目的比较预塑球形钛网和数字化成形三维钛网修补颅骨缺损的临床效果,探讨数字化成形三维钛网在颅骨修补手术中的操作要点及应用价值。方法回顾性分析我院2001年8月至2009年1月155例采用预塑球形钛网行颅骨修补术的患者临床资料,与2009年2月至2013年3月83例采用数字化成形三维钛网行颅骨修补术的患者临床资料进行比较。结果手术时间:预塑钛网组(125±8)min,三维钛网组(98±6)min,预塑钛网组平均手术时间明显长于三维钛网组(P<0.05);使用钛钉数量:预塑钛网组(11.8±1.5)个,三维钛网组(8.3±1.2)个,预塑钛网组平均使用钛钉数量明显多于三维钛网组(P<0.05);外观满意度:预塑钛网组(7.30±0.21)分,三维钛网组(10.00±0.00)分,预塑钛网组外观满意度明显低于三维钛网组(P<0.05);术后并发症:预塑钛网组共19例,发生率12.26%,三维钛网组共3例,发生率3.61%,预塑钛网组术后并发症明显高于三维钛网组(P<0.05)。结论采用数字化成形三维钛网修补颅骨缺损具有手术时间短,使用钛钉数量少,外观满意度高,术后并发症少优点,是目前颅骨修补手术的首选材料,应该在临床推广应用。
Objective The cranioplasty effects of spherical titanium mesh and 3D digital forming titanium mesh on skull bone defects are compared and the surgical keys and the application value of 3D digital forming titanium mesh in cranioplasty operation are discussed.Methods The clinical data of 155 cases of preformed cranioplasty spherical titanium mesh in our hospital from August 2001 to January 2009 were analyzed retrospectively compared with 83 cases performed 3D digital forming titanium mesh from February 2009 to March 2013.Results The operation duration of spherical titanium mesh cranioplasty group was significantly longer than those of 3D digital forming titanium mesh cranioplasty groups （P 〈0.05）.The number of titanium screws in spherical titanium mesh cranioplasty group was significantly more than that in 3D digital forming titanium mesh cranioplasty groups （P 〈 0.05）.The satisfaction of appearance in spherical titanium mesh cranioplasty group was significantly lower than that of the 3D digital forming titanium mesh cranioplasty group （P 〈 0.05）.The postoperative complication rate in the spherical titanium mesh cranioplasty group was significantly higher than that of 3D digital forming titanium mesh cranioplasty group （P 〈0.05）.Conclusion The cranioplasty operation by 3D digital forming titanium mesh has the advantages of shorter hospitalization,less using of titanium screws,higher satisfaction of appearance,and the lower postoperative complications rate.So 3D digital forming titanium mesh is preferred for skull repair and should be popularized in clinical practices.
出处
《中华神经外科疾病研究杂志》
CAS
2014年第3期212-215,共4页
Chinese Journal of Neurosurgical Disease Research
关键词
数字化成形
三维钛网
颅骨修补术
颅骨缺损
Digital forming
Three-dimensional titanium mesh
Cranioplasty
Skull bone defect
