摘要
目的探讨二维钛网电脑个性化塑形在颅骨缺损修补术中的临床应用价值。方法收集新兴县人民医院神经外科2014-06-2016-03收治的50例行颞肌下颅骨修补术的颅骨缺损患者,随机分成2组,治疗组(二维钛网电脑塑形)25例,对照组(三维钛网手工塑形)25例,分别行颅骨修补术对照研究;记录和比较2组手术情况包括手术操作时间、术中出血量、术后伤口愈合时间和塑形满意度,观察2组术后并发症发生情况,并随访3个月后评定2组修补术整体疗效。结果与对照组相比,治疗组手术操作时间(109.59±11.49)min,术后伤口愈合时间(9.40±3.41)d明显较短,术中出血量(169.40±10.60)mL明显较少(P<0.05),塑形满意度(86.17±5.26)%显著较高(P<0.01);治疗组并发症发生率16.00%明显低于对照组44.00%(P<0.05),整体疗效优良率为88.00%显著高于对照组64.00%(P<0.05)。结论电脑塑形钛网颞肌下颅骨修补术治疗颅骨缺损手术操作时间、术后伤口愈合时间短、术中出血量少,塑形效果更满意,术后并发症少,安全性高,对提高颅骨缺损整体治疗疗效有重要价值。
Objective To explore the clinical application value of two-dimensional titanium mesh computer personalized shaping in skull defect repair. Methods 50 patients with skull defects underwent temporomandibular skull repair from June 2014 to March 2016 were randomly divided into two groups：the treatment group （two-dimensional titanium mesh computer, n = 25）, and the control group （Three-dimensional titanium mesh hand-shaped,n=25）. A controlled study was conducted. The operation time of the two groups was recorded and compared. The operation time, intraoperative blood loss, postoperative wound healing time and shaping satisfaction were observed. The complications of the two groups were observed and the overall efficacy of the two groups was evaluated after 3 months. Results Compared with the control group,the operative time （109.59 ± 11.49） rain in the treat- ment group was significantly shorter than that in the control group （9.40 ± 3.41） d, and the intraoperative blood loss （169.40 ±10.60） ml was significantly less （P〈0. 05）. The plasticity satisfaction （86.17 ± 5.26）% was significantly higher （P〈0. 01）. The complication rate was significantly lower in the treatment group than in the control group （44. 00%） （P（0. 05）, and the overall excellent rate was （88.00%） higher than in the control group （64.00%） （P〈0.05）. Conclusion Two-dimensional titanium mesh computer personalized shaping in skull defect repair can reduce the operation time, speed up wound healing, reduce intraoperative blood loss,also has more satisfactory shape effect,less postoperative complications and high safety. It has an impor- tant value in improving the overall therapeutic effect of skull defects
出处
《中国实用神经疾病杂志》
2017年第22期35-39,共5页
Chinese Journal of Practical Nervous Diseases
基金
云浮市医学科技研究基金项目(项目编号:2014B62)
关键词
电脑塑形:钛网
颅骨缺损
颅骨修补术
颞肌
Computer shaping
Titanium mesh
Skull defect
Skull repair
Temporalis
