应用三维塑形钛网修补颅骨缺损的临床评价

发布时间：2018-04-04 01:53

本文选题：颅骨缺损　切入点：计算机辅助设计　出处：《安徽医学》2015年03期

【摘要】：目的探讨应用三维塑形钛网修补颅骨缺损的临床效果。方法 52例颅骨缺损患者随机分为两组,试验组31例运用三维钛网行颅骨修补术,对照组21例采用二维钛网术中人工塑形。对两组的手术并发症以及术后美观度和两组手术前后脑电图(EEG)改善情况进行统计。结果试验组手术并发症发生率为3.22%,术后美观度平均值为(1.06±0.12)mm,EEG改善率为35.48%;对照组并发症发生率为23.81%,术后美观度平均值为(5.44±0.32)mm,EEG改善率为28.57%。两组手术并发症发生率和术后美观度差异有统计学意义(P0.05),两组EEG改善率差异无统计学意义(P0.05),但全部患者手术前后的改善情况差异有统计学意义(P0.05)。结论三维塑形钛网修补颅骨缺损吻合性好,并发症少,颅骨修补后EEG明显改善,值得临床推广应用。
[Abstract]:Objective to investigate the clinical effect of three-dimensional titanium mesh in repairing skull defect.Methods Fifty-two patients with skull defect were randomly divided into two groups: the experimental group (31 cases) were treated with three-dimensional titanium mesh and the control group (21 cases) with 2D titanium mesh.The postoperative complications, postoperative aesthetics and the improvement of EEG before and after operation in both groups were statistically analyzed.Results the incidence of postoperative complications in the trial group was 3.22 and the average value of postoperative aesthetics was 1.06 卤0.12 mm / mm EEG improvement rate was 35.48%, while in the control group the incidence of complications was 23.81 and the average value of postoperative beauty degree was 5.44 卤0.32 mm / mm EEG improvement rate was 28.57%.There were significant differences in the incidence of postoperative complications and the postoperative aesthetics between the two groups. There was no significant difference in the improvement rate of EEG between the two groups (P 0.05), but there was a significant difference between the two groups before and after the operation (P 0.05).Conclusion Three-dimensional plastic titanium mesh has good anastomosis and few complications, and EEG is obviously improved after cranioplasty, which is worthy of clinical application.
【作者单位】：安徽医科大学附属安庆医院神经外科;
【分类号】：R681.1

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