电脑三维塑形钛网行颅骨缺损修补的术后效果及外观满意度分析
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摘要
目的:探讨电脑三维塑形钛网实施颅骨缺损修补手术治疗的效果及外观满意度。方法:选取笔者医院神经外科2012年2月-2017年9月手术治疗的120例颅骨缺损患者进行回顾性分析,根据患者选用的修复材料分为A组60例采用电脑三维塑形钛网实施颅骨缺损修补手术、B组60例采用手工塑形钛网实施颅骨修补手术;对比两组的骨窗面积、去骨瓣减压术后时间、手术时间、手术出血量、钛钉用量、住院时间、并发症发生率及术后患者外观满意度等情况。结果:A组的骨窗面积、去骨瓣减压术后时间、术后住院时间与B组比较,差异不具有统计学意义(P>0.05);A组的手术时间、手术出血量、钛钉用量均显著低于B组,差异具有统计学意义(P<0.05);A组并发症发生率为5.00%低于B组的16.67%,差异具有统计学意义(P<0.05);A组外观满意率91.67%高于B组的75.00%,差异具有统计学意义(P<0.05)。结论:电脑三维塑形钛网实施颅骨缺损修补手术治疗能够减少手术时间、手术出血量及并发症发生率,提高患者外观修复满意度。
Objective To explore the effect and appearance satisfaction of computerized three-dimensional shaping titanium mesh for the treatment of skull defect repair surgery. Methods A retrospective analysis was performed on 120 patients with skull defects who underwent surgical treatment from February 2012 to September 2017 in our hospital. According to the repair materials selected by the patients, 60 patients in group A used computerized three-dimensional shaping titanium mesh for skull defect repair surgery, and 60 patients in group B were treated with manual shaping titanium mesh for skull repair surgery. The bone window area, postoperative time of decompressive valve decompression, surgical bleeding volume, titanium nail dosage, hospitalization time, incidence of complications, and appearance satisfaction of postoperative patients were compared between the two groups. Results There was no significant difference in the bone window area, postoperative time of decompressive craniectomy, and postoperative hospital stay between group A and group B(P>0.05). The operation time, the amount of surgical bleeding, and the amount of titanium nail in group A were significantly lower than those in group B, and the differences were statistically significant(P<0.05). The complication rate of patients in group A was 5.00% lower than that in group B(16.67%,P<0.05). The satisfaction rate of appearance in group A was 91.67% higher than that in group B(75.00%,P<0.05). Conclusion The computerized three-dimensional shaping titanium mesh for the treatment of skull defect repair surgery can reduce the operation time, reduce the amount of surgical bleeding and complications, and improve the satisfaction of the appearance of the patient.
Objective To explore the effect and appearance satisfaction of computerized three-dimensional shaping titanium mesh for the treatment of skull defect repair surgery. Methods A retrospective analysis was performed on 120 patients with skull defects who underwent surgical treatment from February 2012 to September 2017 in our hospital. According to the repair materials selected by the patients, 60 patients in group A used computerized three-dimensional shaping titanium mesh for skull defect repair surgery, and 60 patients in group B were treated with manual shaping titanium mesh for skull repair surgery. The bone window area, postoperative time of decompressive valve decompression, surgical bleeding volume, titanium nail dosage, hospitalization time, incidence of complications, and appearance satisfaction of postoperative patients were compared between the two groups. Results There was no significant difference in the bone window area, postoperative time of decompressive craniectomy, and postoperative hospital stay between group A and group B(P>0.05). The operation time, the amount of surgical bleeding, and the amount of titanium nail in group A were significantly lower than those in group B, and the differences were statistically significant(P<0.05). The complication rate of patients in group A was 5.00% lower than that in group B(16.67%,P<0.05). The satisfaction rate of appearance in group A was 91.67% higher than that in group B(75.00%,P<0.05). Conclusion The computerized three-dimensional shaping titanium mesh for the treatment of skull defect repair surgery can reduce the operation time, reduce the amount of surgical bleeding and complications, and improve the satisfaction of the appearance of the patient.
引文
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[6]谢才兰,邱炳辉,刘波,等.计算机三维成像颅骨修补前后颅腔容积变化与并发症的相关性[J].神经损伤与功能重建,2016,11(3):262-263.
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[10]柴峰,韩晓明,周文江.应用数字化三维成型钛网修补颅骨缺损以及重建颞肌附着点的临床应用研究[J].中国医师进修杂志,2016,39(7):610-613.
[11]金传兵,王贵春,姚亮.计算机辅助塑型钛网与手工塑型钛网修补颅骨缺损的比较分析[J].安徽医药,2017,21(9):1623-1626.
[12]Duhon BS,Bitan F,Lockstadt H,et al.Triangular titanium implants for minimally invasive sacroiliac joint fusion:2-year follow-up from a prospective multicenter trial[J].Int J Spine Surg,2016,10(3):13.
[13]李忠,田仁富,邓国敏.不同手术方式钛网修补术对去骨瓣减压术后颅骨缺损患者预后的影响[J].现代中西医结合杂志,2017,26(4):441-443.
[14]李民,尹春风,戴学东.颅骨缺损行三维钛板颅骨修补时机的临床分析[J].江苏医药,2017,43(20):1502-1504.
[15]刘兵.数字化钛网与手工塑形钛网修补颅骨缺损的临床对比分析[J].中国临床医生杂志,2016,44(10):49-50.
[2]Souza BM,Santos DMS,Braga AS,et al.Effect of a titanium tetrafluoride varnish in the prevention and treatment of carious lesions in the permanent teeth of children living in a fluoridated region:protocol for a randomized controlled trial[J].JMIR Res Protoc,2018,7(1):e26.
[3]钱伟,张卫,金浩,等.三维塑形钛板颞肌下修补颅骨缺损的安全及有效性:38例患者数据分析方案[J].中国组织工程研究,2017,21(34):5418-5422.
[4]王森,刘威,廉庆北,等.超早期三维钛网颅骨修补术的临床研究[J].现代生物医学进展,2017,17(15):2869-2872.
[5]孙健.外伤性颅骨缺损患者外科治疗后并发症状况研究[J].湖南师范大学学报(医学版),2016,13(5):39-41.
[6]谢才兰,邱炳辉,刘波,等.计算机三维成像颅骨修补前后颅腔容积变化与并发症的相关性[J].神经损伤与功能重建,2016,11(3):262-263.
[7]白咏,陈涛,薛光,等.数字化成形钛网颅骨修补术的手术技巧探讨[J].蚌埠医学院学报,2017,42(10):1327-1329.
[8]Lindner D,Schlothofer-Schumann K,Kern BC,et al.Cranioplasty using custom-made hydroxyapatite versus titanium:a randomized clinical trial[J].J Neurosurg,2016,126(1):1.
[9]郑显东,杨非,宋怡诚,等.应用数字化三维塑形钛网行颅骨修补的临床疗效及并发症分析[J].中国医师进修杂志,2016,39(7):603-606.
[10]柴峰,韩晓明,周文江.应用数字化三维成型钛网修补颅骨缺损以及重建颞肌附着点的临床应用研究[J].中国医师进修杂志,2016,39(7):610-613.
[11]金传兵,王贵春,姚亮.计算机辅助塑型钛网与手工塑型钛网修补颅骨缺损的比较分析[J].安徽医药,2017,21(9):1623-1626.
[12]Duhon BS,Bitan F,Lockstadt H,et al.Triangular titanium implants for minimally invasive sacroiliac joint fusion:2-year follow-up from a prospective multicenter trial[J].Int J Spine Surg,2016,10(3):13.
[13]李忠,田仁富,邓国敏.不同手术方式钛网修补术对去骨瓣减压术后颅骨缺损患者预后的影响[J].现代中西医结合杂志,2017,26(4):441-443.
[14]李民,尹春风,戴学东.颅骨缺损行三维钛板颅骨修补时机的临床分析[J].江苏医药,2017,43(20):1502-1504.
[15]刘兵.数字化钛网与手工塑形钛网修补颅骨缺损的临床对比分析[J].中国临床医生杂志,2016,44(10):49-50.