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电脑塑形钛网颞肌下颅骨修补术治疗颅骨缺损

黎华清 黎志洲 梁德双 王天荣 王秀兰 冯秀珍 郑德志

中国实用神经疾病杂志2017,Vol.20Issue(22):35-39,5.
中国实用神经疾病杂志2017,Vol.20Issue(22):35-39,5.DOI:10.3969/j.issn.1673-5110.2017.22.010

电脑塑形钛网颞肌下颅骨修补术治疗颅骨缺损

Treatment of skull defects with computerized titicular mesotomy

黎华清 1黎志洲 1梁德双 1王天荣 1王秀兰 1冯秀珍 1郑德志1

作者信息

  • 1. 新兴县人民医院神经外科,广东新兴527400
  • 折叠

摘要

Abstract

Objective To explore the clinical application value of two-dimensional titanium mesh computer personalized shaping in skull defect repair.Methods 50 patients with skull defects underwent temporomandibular skull repair from June 2014 to March 2016 were randomly divided into two groups:the treatment group (two-dimensional titanium mesh computer,n =25),and the control group (Three-dimensional titanium mesh hand-shaped,n =25).A controlled study was conducted.The operation time of the two groups was recorded and compared.The operation time,intraoperative blood loss,postoperative wound healing time and shaping satisfaction were observed.The complications of the two groups were observed and the overall efficacy of the two groups was evaluated after 3 months.Results Compared with the control group,the operative time (109.59 ± 11.49) min in the treatment group was significantly shorter than that in the control group (9.40 ± 3.41) d,and the intraoperative blood loss (169.40 ± 10.60) ml was significantly less (P<0.05).The plasticity satisfaction (86.17 ± 5.26)% was significantly higher (P<0.01).The complication rate was significantly lower in the treatment group than in the control group (44.00%) (P<0.05),and the overall excellent rate was (88.00%) higher than in the control group (64.00%) (P<0.05).Conclusion Two-dimensional titanium mesh computer personalized shaping in skull defect repair can reduce the operation time,speed up wound healing,reduce intraoperative blood loss,also has more satisfactory shape effect,less postoperative complications and high safety.It has an important value in improving the overall therapeutic effect of skull defects

关键词

电脑塑形/钛网/颅骨缺损/颅骨修补术/颞肌

Key words

Computer shaping/Titanium mesh/Skull defect/Skull repair/Temporalis

分类

医药卫生

引用本文复制引用

黎华清,黎志洲,梁德双,王天荣,王秀兰,冯秀珍,郑德志..电脑塑形钛网颞肌下颅骨修补术治疗颅骨缺损[J].中国实用神经疾病杂志,2017,20(22):35-39,5.

基金项目

云浮市医学科技研究基金项目(项目编号:2014B62) (项目编号:2014B62)

中国实用神经疾病杂志

1673-5110

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