数字化三维重建钛网修补与传统手工塑形修补在颅骨缺损治疗中的疗效比较

摘要

Objective To assess the clinical application of three-dimensional digital titanium mesh shaping (DTMS) in skull neoplasty by comparison DTMS with manual shaping (MS).Methods From January 2009 and December 2012, 118 patients with skull neoplasty were treated by three-dimensional digital mesh shaping approach of skull neoplasty in 61 patients and by manual shaping approach in 57 patients. There was no signiifcant difference in gender, age, cause of injury, affected location, complication and preoperative intervention (P>0.05). Moulding time, operation duration, the number of shaping screws needing in operation, patients’ satisfaction rate and post-operative complications were recorded.Results Compared with those in MS group, in DTMS group the moulding time and average operation duration were signiifcantly shorter (P<0.05). The titanium screws were fewer (P<0.05). The rate of patients’ satisfaction was higher than that in MS group. No other post-operative complication occurred in DTMS group.Conclusion Three-dimensional digital titanium mesh shaping prosthesis, with many advantages such as simple operation process, accurate and natural physiological curve and shape, as well as reducing complication and medical expenses, is superior to the traditional manual shaping.%目的：比较传统手工塑形修补(MS)与数字化三维重建钛网修补术(DTMS)在修补颅骨缺损中的临床疗效。方法2009年1月至2012年12月收治且符合选择标准的118例颅骨缺损患者纳入研究，根据手术方法不同分为数字化三维重建钛网修补组61例，传统手工塑形修补组57例。两组患者性别、年龄、致伤原因、受伤部位、合并症、受伤至手术时间及术前外观方面比较，差异均无统计学意义（P＞0.05），具有可比性，比较两组患者手术用时、钛钉用量、术后并发症及术后外观满意度方面的差异。结果数字化三维重建钛网修补组在手术用时、钛钉用量、术后并发症及塑性工作量方面较手工塑型修补明显缩短或减少，差异有统计学意义（P＜0.05）且术后外观满意度方面明显优于传统手工塑型修补组，差异有统计学意义（P＜0.05）。结论使用数字化三维重建钛网修补颅骨缺损手术时间短，钛钉用量少，术后并发症少，塑形工作量减轻，术后外观满意度高，在修补颅骨缺损方面更具优势。