CAJ | 학술논문

目的：探讨计算机辅助设计定制化植入体，对复杂眶周畸形患者治疗的准确性和安全性。方法本文回顾了2009年1月至2012年12月，于我科接受计算机辅助设计定制化植入体治疗的眶周复杂畸形患者共106例，将患者术后6月CT扫描重建影像与术前计算机模拟设计行表面几何学差异分析，判断植入体与术前设计间的差异，并统计患者并发症的发生情况。结果106例患者中，采集6个月后随访CT共105例，植入体形态平均误差（1.32±1.64） mm，85.72%的患者误差小于2 mm。除1例患者由于反复的额窦感染，在术后2个月取出植入体，其余患者均未发生严重的并发症。结论计算机辅助定制化植入体，治疗眶周复杂畸形高效、准确、安全，可作为复杂眶周畸形临床治疗的推荐方案之一。
목적：탐토계산궤보조설계정제화식입체，대복잡광주기형환자치료적준학성화안전성。방법본문회고료2009년1월지2012년12월，우아과접수계산궤보조설계정제화식입체치료적광주복잡기형환자공106례，장환자술후6월CT소묘중건영상여술전계산궤모의설계행표면궤하학차이분석，판단식입체여술전설계간적차이，병통계환자병발증적발생정황。결과106례환자중，채집6개월후수방CT공105례，식입체형태평균오차（1.32±1.64） mm，85.72%적환자오차소우2 mm。제1례환자유우반복적액두감염，재술후2개월취출식입체，기여환자균미발생엄중적병발증。결론계산궤보조정제화식입체，치료광주복잡기형고효、준학、안전，가작위복잡광주기형림상치료적추천방안지일。
Objective To investigate the efficiency and safety of computer assistant designed implants (CADI) in the treatment of complex orbital abnormalities. Methods A retrospective study was applied on 106 cases suffered from complex orbital deformity and treated with CADI during Jan. 2009 to Dec. 2012. The 6 months ’ postoperative CT image was compared to the pre-operative design. The surface geometric deviation was analyzed to evaluate the accuracy of CADI in orbital reconstruction. And the complications were documented. Results Among 106 cases, the CT images of 105 cases were obtained. The average deviation of the 105 cases was (1.32 ±1.64) mm. In 85.72%cases, the deviation was less than 2 mm. Only in one case the implant was taken out due to severe frontal sinus infection. No other serious complications were observed. Conclusion Computer assistant designed implant is an efficient, accurate and safe solution to complex orbital deformities. It might be one of the first choices in the treatment of complex orbital deformities.