运用数字化塑形钛网行颅骨缺损修补的并发症分析及防治策略  

Analysis and prevention strategies on complications of repairing skull defect with digital line shaping titanium mesh

作　　者：谢贤生 刘胜初 

机构地区：[1]广东河源市人民医院神经外科,河源517000

出　　处：《中国实用神经疾病杂志》2014年第8期30-32,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨运用数字化塑形钛网行颅骨缺损修补术的并发症进行分析,为临床防治提供参考。方法回顾性分析我院2010-01—2013-01收治的256例颅骨缺损修补术患者作为研究对象,按照治疗方法的不同分为A组和B组,A组(156例)采用数字化塑形钛网行颅骨缺损修补术,B组(100例)采用传统手工塑形钛网行颅骨缺损修补术,对2组术后并发症进行分析,并进一步比较A组患者不同缺损面积及不同年龄与术后并发症发生率的关系。结果 A组术后并发症的发生率为2.82%(20/156);B组为25%(25/100),差异有统计学意义(P<0.05)。A组患者不同缺损面积及不同年龄与术后并发症发生率的关系进行比较,损伤面积在40cm2以上及年龄在60岁以上的患者并发症的发生率高,差异有统计学意义(P<0.05)。结论运用数字化塑形钛网行颅骨缺损修补术较传统手工塑形钛网并发症少,缺损面积越大及年龄越大,术后各种并发症发生率越高。Objective To analyze the complications of repairing skull defect with digital line shaping titanium mesh ,and to provide reference for clinical prevention and treatment.Methods Two hundred and fifty six patients with skull defect repair were retrospectively analyzed from January 2010 to January 2013. According to the different treatments ,they were divided into group A and group B ,group A （156 cases）were performed with digital shaping titanium mesh ,group B （100 cases） with tradi-tional handwork shaping titanium mesh ,postoperative complications of two groups were analyzed. And the relation between postoperative complications of A group patients and differentt defect area ,different age were further analyzed.Results The in-cidence of postoperative complications of A group was 12.82% （20/156）;Group B was 25% （25/100） ,the difference was sta-tistically significant （P〈0.05）. the damage area above 40 cm2 and patients aged over 60 years have high incidence of complica-tions ,the difference was statistically significant （P〈0.05）.Conclusion Digital shaping titanium mesh have less complications compared with traditional handwork shaping titanium mesh.The more the defect area and the older the age ,the higher the inci-dence of postoperative complications is.

关 键 词：颅骨缺损 数字化塑形钛网 手工塑形钛网 并发症 

分 类 号：R651.15[医药卫生—外科学]