三维钛网在颅骨修补术中的应用  

The Clinical Application of 3D Ti Frame for Cranioplasty

作　　者：何炜[1] 熊卫军[1] 

机构地区：[1]南华大学第一附属医院神经外科,湖南衡阳421001

出　　处：《南华大学学报（医学版）》2007年第6期850-852,共3页Journal of Nanhua University(Medical Edition)

摘　　要：目的探讨三维钛网在颅骨修补术中的应用。方法应用加网硅胶材料颅骨成型25例,自体颅骨成型18例,三维金属钛网颅骨成型29例,随访5年,比较三种材料颅骨成型术后的并发症发生率,以评价其治疗效果。结果加网硅胶修补组并发症的发生率为36.0%,自体颅骨修补组并发症的发生率为22.2%,三维钛网修补的29例无1例并发症,三维钛网修补组并发症的发生率少于加网硅胶组与自体颅骨修补组(χ2=12.15或χ2=7.04,P<0.01)。结论三维钛网在三种颅骨修补材料中是理想的修补材料。Objective To explore clinical application of 3D Ti frame for cranioplasty. Methods 25 patients using net- added silica gel, 18 patients using auto - cranial bones and 29 patients using 3D Ti frames were studied. After five - year constant observation, the neopathy incidence rates of the groups of patients after cranioplasty were recoded and analyzed. Results Out of 25 patients using net- added silica gel, 9 showed syndrome （ three were displaced, two were disposed and infected, three were with subcutaneous hydrops and one was epileptic seizure）. The incidence rate amounted to 36.0%. Among the 18 patients using autocranial bones for repairing, 4 showed syndrome （one was osteolytic absorption and the other three were with subcutaneous hydrops. ）. The inci- dence rate amounted to 22.2%. However, none out of 29 patients using 3D Ti frames showed syndrome. So the neopathy incidence rate of the group using 3D Ti frames was lower than that of the other two groups （χ^2 value is 12.5 and 7.04 respectively, P 〈 0,01）. Conclusion Among three different materials for cranioplasty, the 3D Ti frame is the most ideal material for cranioplasty.

关 键 词：硅胶 自体颅骨 三维钛网 颅骨修补 

分 类 号：R651.15[医药卫生—外科学]