数字化预塑形钛网修补颅骨缺损的体会

Experience of Digital Pre Shaped Titanium Mesh in Repairing Skull Defects

目的：探讨数字化预塑形钛网在颅骨修补术中的临床效果。方法：对2009年1月-2013年7月笔者所在科室收治的72例颅骨缺损患者应用数字化预塑形钛网进行颅骨修补术的临床资料进行回顾性分析。结果：术后3例出现皮下积液，经穿刺抽液、加压包扎后消失；术后1例早期部分皮瓣边缘发黑，经间断拆线后，愈合良好。68例患者术后第1天恢复至修补术前神经功能水平，无新增神经系统阳性体征，所有患者头颅CT复查显示钛网及钛钉无松动，数字化预塑形钛网塑形好，与颅骨贴合紧密。术后随访11-24个月，无一例发生钛网松动、外露，所有患者外观恢复满意。结论：数字化预塑形钛网在颅骨缺损修补术中具有临床应用推广价值。

Objective：To discuss the clinical effect on digital pre shaping titanium mesh for cranioplasty surgery.Method：Selected 72 cases of skull defects in our department from January 2009 to July 2013,clinical application of digital titanium mesh shaping of pre cranioplasty were analyzed retrospectively. Result：After operation,3 cases subcutaneous effusion,after puncture andcompression bandaging disappeared;1 case of early part of the flap edge blackening, the interrupted stitches later,good healing.The first day of 68 cases with postoperative recovery and repair of nerve function level,without additional positive signs of nervous system,cranial CT examination showed that all patients with titanium mesh and titanium nail without loosening,digital pre shaping titanium mesh shapinggood,close and skull.Patients were followed up for 11-24 months,no case of titanium meshloose,exserted,all patients recovered satisfactory appearance.Conclusion：Digital pre shaping titanium mesh has clinical application value in skull defect repair.