数字化成形钛网在颅骨缺损修补术中的临床应用

Clinical application of digitization prototyping titanium meshes in repairing the skull defect

目的 探讨数字化成形钛网在颅骨缺损修补中的临床应用价值. 方法 回顾性分析66例采用钛网修补术治疗的颅骨缺损患者临床资料,并对其进行疗效评价.其中采用人工塑形钛网修补术15例;数字化成形钛网修补术51例,早期组（开颅术后3个月内）30例,晚期组（开颅手术6个月以后）21例. 结果人工塑形钛网修补组手术时间,钛钉/骨窗面积比,术后恢复时间,术后皮下积血、积液及感染发生率均明显高于数字化成形钛网修补组,而满意度低于后者,差异有统计学意义（P＜0.05）.数字化成形钛网早期组术后1月神经功能改善率明显高于晚期组,差异有统计学意义（P＜0.05）. 结论 数字化成形钛网技术修复颅骨缺损的效果明显优于人工塑形技术,能有效提高塑形满意度,减少术后并发症.颅骨缺损患者早期行颅骨修补既能解除相关的精神负担,又可终止或逆转相关的继发性脑损害,改善神经功能,提高患者生活质量.

Objective To discuss the clinical application and efficacy of digitization prototyping titanium meshes in the repairing of earthquake-induced skull defect. Methods The clinical data of 66patients with skull defect caused by earthquake were analyzed. These patients were divided into group A （treated with traditional handwork shaping titanium meshes, n=1S） and group B （treated with digitization prototyping titanium meshes, n=51）. The efficacy and complications were compared.Results Compared to group A, group B had a shorter operation time, a shorter recovery time, a lower postoperative incidence rate of subcutaneous hematocele, hydrops and infection （P＜0.05）. The digitization prototyping titanium meshes were significantly superior to handwork shaping titanium meshes （P＜0.05）. And patients with skull defect repaired at early stage had a higher recovery rate of neurological function than those at advanced stage （P＜0.05）. Conclusion Using digitization prototyping titanium meshes to repair the skull defect can enjoy anatomical reduction, shortened operation time, and fewer postoperative complications. In addition, an early repair in earthquake-induced skull defect can not onlydisburden patients＇ mind, but also prevent or even reverse secondary brain damage of skull defect,therefore, the patients＇ neurological function can be improved and their lives can be better.