CAJ | 학술논문

目的探讨数字化成形钛网在颅骨缺损修补中的临床应用价值. 方法回顾性分析66例采用钛网修补术治疗的颅骨缺损患者临床资料,并对其进行疗效评价.其中采用人工塑形钛网修补术15例;数字化成形钛网修补术51例,早期组(开颅术后3个月内)30例,晚期组(开颅手术6个月以后)21例. 结果人工塑形钛网修补组手术时间,钛钉/骨窗面积比,术后恢复时间,术后皮下积血、积液及感染发生率均明显高于数字化成形钛网修补组,而满意度低于后者,差异有统计学意义(P＜0.05).数字化成形钛网早期组术后1月神经功能改善率明显高于晚期组,差异有统计学意义(P＜0.05). 结论数字化成形钛网技术修复颅骨缺损的效果明显优于人工塑形技术,能有效提高塑形满意度,减少术后并发症.颅骨缺损患者早期行颅骨修补既能解除相关的精神负担,又可终止或逆转相关的继发性脑损害,改善神经功能,提高患者生活质量.
목적 탐토수자화성형태망재로골결손수보중적림상응용개치. 방법 회고성분석66례채용태망수보술치료적로골결손환자림상자료,병대기진행료효평개.기중채용인공소형태망수보술15례;수자화성형태망수보술51례,조기조(개로술후3개월내)30례,만기조(개로수술6개월이후)21례. 결과인공소형태망수보조수술시간,태정/골창면적비,술후회복시간,술후피하적혈、적액급감염발생솔균명현고우수자화성형태망수보조,이만의도저우후자,차이유통계학의의(P＜0.05).수자화성형태망조기조술후1월신경공능개선솔명현고우만기조,차이유통계학의의(P＜0.05). 결론 수자화성형태망기술수복로골결손적효과명현우우인공소형기술,능유효제고소형만의도,감소술후병발증.로골결손환자조기행로골수보기능해제상관적정신부담,우가종지혹역전상관적계발성뇌손해,개선신경공능,제고환자생활질량.
Objective To discuss the clinical application and efficacy of digitization prototyping titanium meshes in the repairing of earthquake-induced skull defect. Methods The clinical data of 66patients with skull defect caused by earthquake were analyzed. These patients were divided into group A (treated with traditional handwork shaping titanium meshes, n=1S) and group B (treated with digitization prototyping titanium meshes, n=51). The efficacy and complications were compared.Results Compared to group A, group B had a shorter operation time, a shorter recovery time, a lower postoperative incidence rate of subcutaneous hematocele, hydrops and infection (P＜0.05). The digitization prototyping titanium meshes were significantly superior to handwork shaping titanium meshes (P＜0.05). And patients with skull defect repaired at early stage had a higher recovery rate of neurological function than those at advanced stage (P＜0.05). Conclusion Using digitization prototyping titanium meshes to repair the skull defect can enjoy anatomical reduction, shortened operation time, and fewer postoperative complications. In addition, an early repair in earthquake-induced skull defect can not onlydisburden patients' mind, but also prevent or even reverse secondary brain damage of skull defect,therefore, the patients' neurological function can be improved and their lives can be better.