数字化三维塑形钛网修补颅骨缺损患者的临床优势分析

Clinical advantages of digital three-dimensional shaping titanium mesh in the repairing of patients with skull defect

目的探讨数字化三维塑形钛网与传统手工塑形钛网修补颅骨缺损的临床价值。方法回顾性分析78例颅骨缺损患者的临床资料，按所用钛网不同分为数字化三维塑形钛网组（41例）和传统手工塑形钛网组（37例），比较两组住院时间、手术操作时间、住院费用、塑形满意度以及并发症情况。结果数字化三维塑形钛网组住院费用和塑形满意度明显高于传统手工塑形钛网组[（12978．1±4765．7）元比（9436．6±3798．7）元、（9．87±0．13）分比（9．41±0．09）分]，并发症发生率明显低于传统手工塑形钛网组[4．9％（2／41）比29．7％（11／37）]，两组比较差异均有统计学意义（P〈O．05）；两组住院时间、手术操作时间比较差异无统计学意义（P〉0．05）。结论数字化三维塑形钛网修补颅骨缺损时操作便捷，在很大程度上降低了手术的风险以及并发症发生率，并能达到高标准的塑形效果，值得临床推广。

Objective To investigate the clinical value of digital three-dimensional shaping titanium mesh and traditional hand-shaping titanium mesh in the repairing of skull defect surgery. Methods The clinical data of 78 patients with skull defect were retrospectively analyzed, they were divided into digital three-dimensional shaping titanium mesh group （41 cases） and traditional hand-shaping titanium mesh group （37 cases） according to the different titanium net,then the hospital stay ,operative time, hospital costs, shaping satisfaction and postoperative complications between two groups were compared. Results The hospital costs and shaping satisfaction in digital three-dimensional shaping titanium mesh group were significantly higher than those in traditional hand-shaping titanium mesh group [ （ 12 978.1 ± 4 765.7） yuan vs. （9 436.6 ± 3 798.7） yuan, （9.87 ± 0.13） scores vs. （9.41 ± 0.09） scores ], the complication rate was significantly lower than that in traditional hand-shaping titanium mesh group [4.9% （2/41） vs. 29.7% （11/37 ）] ,there was significant difference （P 〈 0.05 ）. The hospital stay and operative time between two groups had no significant difference （P 〉 0.05）. Conclusion The digital three-dimensional shaping titanium mesh repair is convenient to operate, it can largely reduce the risks and complications of surgery, and can also achieve a high standard of modeling results, so is worthy of promotion,