中国组织工程研究与临床康复2009，Vol.13Issue(21)：4196-4200,5.DOI:10.3969/j.issn.1673-8225.2009.21.046
三维EH复合型人工颅骨板修补颅骨缺损53例
Three-dimensional EH composite artificial template for repairing cranial defect in 53 cases
马建华 1印佳 1封林森 1刘艺春 1方涛 1蒋峰1
作者信息
- 1. 泰兴市人民医院神经外科,江苏省泰兴市,225400
- 折叠
摘要
Abstract
OBJECTIVE: To observe effects of three-dimensional EH composite template on repairing cranial bone defect.
METHODS: A total of 53 inpatients were analyzed retrospectively at the Department of Neurosurgery, Taixing People's Hospital from July 2004 to May 2007, comprising 31 males and 22 females, aged 19-68 years. They were in accordance with cranial repairing indication. Reasons for skull defect: traumatic brain injury (41 cases), hypertension (7 cases), intracranial cancer (3 cases), intracranial aneurysm (2 cases). Thirteen patients developed bilateral cranial defect. The defect region: frontal (5 slices, comprising 2 with severe orbital part defect), temporal (9 slices), frontotemporal (42 slices), temporoparietal (3 slices), parietoocipital (4 slices), frontoparietal (3 slices). The smallest single-chip defect size was 4 cm × 6 cm, and the largest one was 12 cm×18 cm. All the patients were mended by three-dimensional EH composite template using spiral CT (≤5 mm thickness) scanning, CAD three dimensional reconstruction, quickly modeling technique. Infection of incisional wound, rejection and complications were observed.
RESULTS: A total of 53 patients were followed up, with an average follow-up period of 18 months, and all of them were satisfied with the shapes (100%). Mild collection of the fluid under the scalp was found in 2 cases 4 days and 1 week following surgery, and disappeared after suction and pressure dressing. No other frequent complications were observed after cranioplasty.
CONCLUSION: Three-dimensional EH composite template is an ideal material for cranial bone defect, because of its good biocompatibility, easy operation, good postoperative shape and less complications.
关键词
颅骨缺损/颅骨修补/三维成像/骨代用品/材料分类
基础医学引用本文复制引用
马建华,印佳,封林森,刘艺春,方涛,蒋峰..三维EH复合型人工颅骨板修补颅骨缺损53例[J].中国组织工程研究与临床康复,2009,13(21):4196-4200,5.
