聚醚醚酮与钛网修补颅骨缺损的临床应用对比分析  

Comparison of clinical application of polyetheretherketone and titanium mesh in cranioplasty

作　　者：赵德枭 郭永坤 王新军[1] 刘婉清 陈冠岐 毛建超 单峤[1] Zhao Dexiao;Guo Yongkun;Wang Xinjun;Liu Wanqing;Chen Guanqi;Mao Jianchao;Shan Qiao(Department of Neurosurgery,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第五附属医院神经外科,郑州450052

出　　处：《中华脑科疾病与康复杂志（电子版）》2021年第6期362-365,共4页Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）

摘　　要：目的对比分析聚醚醚酮(PEEK)与钛网在颅骨修补术中的临床应用效果。方法回顾性分析郑州大学第五附属医院神经外科自2018年1月至2021年6月收治的138例行颅骨修补术患者的临床资料,其中采用PEEK行颅骨修补术36例(PEEK组),采用钛网行颅骨修补术102例(钛网组)。比较2组患者术后并发症发生情况及塑形满意度。结果2组患者术后硬膜外血肿、感染、癫痫、修补材料外露或变形及二次手术发生率差异均无统计学意义(P>0.05);PEEK组术后皮下积液的发生率明显高于钛网组,但塑形满意度明显优于钛网组,差异均具有统计学意义(P<0.05)。结论PEEK作为新型颅骨缺损修补材料安全、有效,并且塑形满意度好,但其材料价格昂贵,故可作为具有一定经济基础且对颅骨缺损修补后外在美观度和主观舒适度要求较高的患者的颅骨修补材料。Objective To compare clinical application effects of polyetheretherketone(PEEK)and titanium mesh in cranioplasty.Methods The clinical data of 138 patients with cranioplasty treated in the Department of Neurosurgery of the Fifth Affiliated Hospital of Zhengzhou University from January 2018 to June 2021 were retrospectively analyzed.The patients were divided into PEEK group(n=36)and titanium mesh group(n=102)according to materials used in cranioplasty.The postoperative complications and plastic satisfaction were compared between two groups.Results There were no significant differences in epidural hematoma,infection,epilepsy,repair material exposure or deformation,and incidence of secondary operations between two groups(P>0.05).The incidence of subcutaneous fluid in PEEK group was significantly higher than that in titanium mesh group(P<0.05).The plastic satisfaction in PEEK group was significantly superior to that of titanium mesh group(P<0.05).Conclusion PEEK,a neotype skull repair material,is safe and effective in cranioplasty,and plastic satisfaction is better,but the cost is higher.Therefore,PEEK can be regarded as an ideal skull repair material for patients with economic basis and higher requirements in external appearance and subjective comfort following cranioplasty.

关 键 词：颅骨缺损 颅骨修补术 聚醚醚酮 钛网 

分 类 号：R651.1[医药卫生—外科学]