钛金属网板修补颅骨缺损35例临床分析

Clinical experiences of cranioplasty with titanium alloy mesh for skull defect of 35 cases

目的探讨钛金属网板修补颅骨缺损的效果及方法。方法所有患者手术在全麻下进行,缺损的颅骨用钛金属网板修补,术后皮下置负压引流管防止皮下积血、积液,48 h内拔除引流管。结果35例颅骨缺损致头颅外观畸形均较好修复,无并发症发生。二维钛网硬度大,适合较大颅骨缺损修补,三维钛网容易塑形,适合中等大小颅骨缺损修补。结论采用钛金属网板修补颅骨缺损手术,手术操作简便,创伤小,只要掌握好手术指征,选择合适型号及规格的钛网可取得良好的效果。

Objective To explore the clinical application effect and methods in the treatment of skull defect. Methods About 35 cases who were performed cranioplasty with titanium mesh were reviewed retrospectively. Results All 35 cases were treated successfully in one time with satisfied appearance and no complications appeared. Conclusion The titanium alloy mesh is the best material in cranioplasty for its simplicity, less complication, and excellent effect. 2-dimensional mesh is hardness and fit the bigger skull defect,3-dimensional mesh is moulded easily to fit the smaller and middle skull defect. The good effects and less complications are mainly related to the indication and the suitable titanium alloy mesh.