CAD/CAM无模多点成形钛网修补大面积颅骨缺损  

Cranioplasty for large-area skull defect with computer aided design/manufacture non-model-multi-spot shaped titanium mesh

作　　者：沈建[1] 濮宏健[1] 方黎明[1] 朱岁军[1] 唐超[1] 单华[1] 周永庆[2] 沈剑锋[2] 

机构地区：[1]杭州师范大学附属余杭医院神经外科,杭州311100 [2]浙江大学医学院附属第一医院神经外科,杭州333100

出　　处：《中华神经医学杂志》2010年第11期1167-1169,共3页Chinese Journal of Neuromedicine

摘　　要：目的 探讨CAD/CAM无模多点成形钛网技术在大面积颅骨缺损修补中的应用.方法自2007年7月至2009年2月对收治的85例大面积颅骨缺损患者运用CAD/CAM无模多点成形钛网技术进行颅骨修补,并对其临床资料进行回顾性分析.结果 术中塑形修补平均时间为（13.00±2.56）min,术后患者颅骨缺损综合征改善率为85%,无重大并发症发生,术后三维重建示头颅形状恢复生理原貌,塑形满意度为100%.结论 CAD/CAM无模多点成形钛网技术修补大面积颅骨缺损的手术时间短,术后并发症少,患者临床症状改善明显,达到科学与美学的完美结合,值得临床广泛应用.Objective To evaluate the clinical application of titanium mesh for cranioplasty of large-area skull defect with CAD/ （Computer aided design/manufacture） CAM non-model-multi-spot shaping technique. Methods Eighty-five patients suffered from large-area skull defect were treated by CAD/CAM non-model-multi-spot shaping technique from July 2007 to February 2009. A retrospective analysis of clinical data on these patients was performed. Results The average time for cranioplasty was （13.00 ± 2.56） min, and the postoperative improvement rate of patients with skull defects syndrome was 85% without major complications. Three-dimensional reconstruction of the skull showed physiological original shape recovery. The post-operative satisfaction rate of patients reached 100%.Conclusion Cranioplasty of large-area skull defect with CAD/CAM non-model-multi-spot shaped titanium mesh enjoys short operative time, few postoperative complications and remarkably improved symptoms, and achieves perfect combination of science and aesthetics, which worths widely used in clinic.

关 键 词：颅骨修补 颅骨缺损 钛网 计算机辅助设计与制造 

分 类 号：R686[医药卫生—骨科学]