中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (51): 9683-9686.doi: 10.3969/j.issn.1673-8225.2011.51.044

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    下一篇

数字化三维塑形钛网与传统手工塑形钛网修补颅骨缺损对比

刘慧权，陈子祥，柳兴军，王  建   

  1. 天津市海河医院，天津市  300350
  • 收稿日期:2011-09-27 修回日期:2011-10-10 出版日期:2011-12-17 发布日期:2011-12-17
  • 通讯作者: 刘慧权，男，1980年生，内蒙古自治区呼和浩特市人，蒙古族，2008年天津医科大学毕业，硕士，医师，主要从事颅脑创伤及脑血管病研究。 tyliuhq@ 126.com
  • 作者简介:刘慧权，男，1980年生，内蒙古自治区呼和浩特市人，蒙古族，2008年天津医科大学毕业，硕士，医师，主要从事颅脑创伤及脑血管病研究。 tyliuhq@ 126.com

Comparison of digital three-dimensional reconstructed titanium mesh and manual reconstructed titanium mesh in cranioplasty

Liu Hui-quan, Chen Zi-xiang, Liu Xing-jun, Wang Jian   

  1. Department of Neurosurgery, Tianjin Haihe Hospital, Tianjin  300350, China
  • Received:2011-09-27 Revised:2011-10-10 Online:2011-12-17 Published:2011-12-17
  • Contact: Liu Hui-quan, Department of Neurosurgery, Tianjin Haihe Hospital, Tianjin 300350, China tyliuhq@126.com
  • About author:Liu Hui-quan★, Master, Physician, Department of Neurosurgery, Tianjin Haihe Hospital, Tianjin 300350, China tyliuhq@126.com

PDF

442

被引次数

20

摘要：

背景：数字化三维塑形钛网修补颅骨缺损时能最大限度地达到生理解剖形态上的成型。
目的：通过观察数字化三维塑形钛网在颅骨缺损修补中的临床应用效果，并与传统手工塑形钛网比较。
方法：将84例颅骨缺损患者按照不同的成形方法随机分为2组：手工塑形组颅骨缺损患者43例：采用手工塑形钛网修补；数字化三维塑形组41例：采用数字化三维塑形钛网，通过计算机三维重建、将钛网制成个性化颅骨修复体进行修补。
结果与结论：数字化三维塑形组在修补时间及并发症发生率上明显低于手工塑形组，塑形满意度则明显增高(P < 0.05)，生物相容性较好，但其耗材费用较高。结果说明，相比传统手工塑形钛网，数字化三维塑形钛网修补颅骨缺损效果较好。

关键词: 数字化钛网, 颅骨缺损, 颅骨修补, 生物材料, 组织工程

Abstract:

BACKGROUND: Digital three-dimensional reconstructed titanium mesh can achieve the best physiologic and anatomical molding in skull defect cranioplasty.
OBJECTIVE: To compare the clinical effects of digital three-dimensional reconstructed titanium mesh and manual reconstructed titanium mesh for cranioplasty of skull defect.
METHODS: A total of 84 patients with skull defect were divided into two groups randomly. Forty-three patients were repaired with manual reconstructed titanium mesh, and 41 patients with digital three-dimensional reconstructed titanium mesh. Titanium mesh was made into individual skull prosthetic replacement by computer three-dimensional reconstruction.
RESULTS AND CONCLUSION: In the digital three-dimensional reconstructed group, the operation time was shorter and the incidence rate of complication was fewer, while the degree of molding satisfaction was significantly higher than the manual reconstructed group (P < 0.05). Biocompatibility was better but the cost of mesh was higher than the manual reconstructed group. Results show that the digital three-dimensional reconstructed titanium mesh can save surgical duration, have less postoperative complications, have high satisfaction, and cost more money in cranioplasty.

中图分类号: