超低温保存自体颅骨与数字化三维成形钛网颅骨修补的临床疗效比较

The Clinical Effect Comparision of Cryopreserved Autologous Skull and Digital Three-dimensional Reconstructed Ti Frame on Cranioplasty

目的:研究数字化三维成形钛网与超低温保存自体颅骨两种材料在颅骨修补中的临床应用效果。方法:使用回顾性分析方法,研究数字化三维成形钛网及自体颅骨两种材料用于修补额颞顶部颅骨缺损174例患者的临床资料。自体颅骨组66例,数字化三维成形钛网组108例。结果:自体颅骨组并发症发生率为12.1%,塑形满意度为95.4%;数字化三维成形钛网组并发症发生率为9.2%,塑形满意度83.5%。两组并发症发生率比较差异无统计学意义(P>0.05),两组塑形满意度上比较差异有统计学意义(P<0.05),自体颅骨组塑形满意度高于数字化三维钛网组。结论:超低温保存下自体颅骨修复颅骨缺损并发症少、塑形满意高,是一种简便、经济、安全、可行的方法。

Objective： To discuss the clinical effect of cryopreserved autologous skull and digital threedimensional reconstructed Ti frame on cranioplasty.Method： 174 patients with frontal temporal parietal skull defect were treated by autologous skull or digital three-dimensional reconstructed Ti frame were divided into autologous skull group（66 cases） and digital three-dimensional reconstructed Ti frame group（108 cases）. The clinical datas of them was analyzed.Result：The incidence of complications and the shaping satisfaction were 12.1% and 95.4% in the autologous skull group, and were 9.2% and 83.5% in the digital three-dimensional reconstructed Ti frame group respectively. The incidences of complications of two groups had no significant difference（P〉0.05）.However,the shaping satisfaction of the autologous skull group was higher than that of the digital three-dimensional reconstructed Ti frame group,the difference was statistically significant（P〈0.05）.Conclusion：Cryopreserved autologous skull for Cranioplasty causes fewer complications with a higher shaping satisfaction.It is a simple,safe,economic and feasible method for cranioplasty.