中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2010年
11期
1003-1005
,共3页
丁勇%钱忠心%叶树铭%朱景伟%龚良%赵鸿%刘向阳%张宇一%赵明珠%刘卫东
丁勇%錢忠心%葉樹銘%硃景偉%龔良%趙鴻%劉嚮暘%張宇一%趙明珠%劉衛東
정용%전충심%협수명%주경위%공량%조홍%류향양%장우일%조명주%류위동
颅骨骨折%生物相容性材料%计算机辅助设计
顱骨骨摺%生物相容性材料%計算機輔助設計
로골골절%생물상용성재료%계산궤보조설계
Skull fractures%Biocompatible materials%Computer-assisted design
目的 探讨应用计算机辅助成形后医用树脂(epoxide acrylate maleic,E)和羟基磷灰石(hydroxyapatite,H)复合人工骨材料(EH)在颅骨修补术中的作用.方法 采用EH型复合人工骨材料,计算机辅助设计、制造出个体化颅骨瓣,对45例患者进行颅骨修补手术,并随访观察6个月～3年.结果 本组45例患者中,术后发生皮下积液1例,骨瓣轻度塌陷1例.其余无感染及排异反应,且外形修复精致.结论 采用EH型复合人工骨材料,术前应用计算机辅助塑形后具有匹配良好、术中节省手术时间、术后随访表现出生物相容性好等优点,可提高临床疗效.
目的 探討應用計算機輔助成形後醫用樹脂(epoxide acrylate maleic,E)和羥基燐灰石(hydroxyapatite,H)複閤人工骨材料(EH)在顱骨脩補術中的作用.方法 採用EH型複閤人工骨材料,計算機輔助設計、製造齣箇體化顱骨瓣,對45例患者進行顱骨脩補手術,併隨訪觀察6箇月～3年.結果 本組45例患者中,術後髮生皮下積液1例,骨瓣輕度塌陷1例.其餘無感染及排異反應,且外形脩複精緻.結論 採用EH型複閤人工骨材料,術前應用計算機輔助塑形後具有匹配良好、術中節省手術時間、術後隨訪錶現齣生物相容性好等優點,可提高臨床療效.
목적 탐토응용계산궤보조성형후의용수지(epoxide acrylate maleic,E)화간기린회석(hydroxyapatite,H)복합인공골재료(EH)재로골수보술중적작용.방법 채용EH형복합인공골재료,계산궤보조설계、제조출개체화로골판,대45례환자진행로골수보수술,병수방관찰6개월～3년.결과 본조45례환자중,술후발생피하적액1례,골판경도탑함1례.기여무감염급배이반응,차외형수복정치.결론 채용EH형복합인공골재료,술전응용계산궤보조소형후구유필배량호、술중절성수술시간、술후수방표현출생물상용성호등우점,가제고림상료효.
Objective To evaluate the effect of computer-aided design of composite materials with epoxide acrylate maleic (E) and hydroxyapatite (H) in cranioplasty. Methods A total of 45 patients with cranium defects were treated with cranioplasty by using skull bone flaps made of composite materials including epoxide acrylate maleic (E) and hydroxyapatite (H) ,which was designed with computer aid according to individual requirements. The patients were followed up for 6-36 months. Results After cranioplasty with composite EH, there occurred subcutaneous fluid in one patient and mild bone collapse in one. The composite EH showed good histocompatibility, with no infection or rejection. Conclusion During cranioplasty, use of computer-aided design of composite EH takes advantages of good accuracy, short operation time, good biocompatibility and good clinical efficiency.
