三维塑型钛网颅骨成形术在颅骨缺损修复中的应用

邵先矛; 吴良发; 王经发; 毛小满; 谢英彬; 卢明

doi:10.7619/jcmp.20200671

三维塑型钛网颅骨成形术在颅骨缺损修复中的应用

Application of cranioplasty with three-dimensional plastic titanium mesh in the repair of skull defects

摘要

摘要:
目的研究三维塑型钛网颅骨成形术在颅骨缺损修复中的效果。
方法将45例额颞部颅骨缺损患者随机分为观察组(n=29)和对照组(n=16), 观察组采用三维塑形钛网行颅骨成形术，对照组采用二维钛网人工塑形进行颅骨修补。比较2组美容满意度相关指标。
结果术后随访3个月，观察组颅骨修补侧和健侧头型对称29例，颞肌塌陷1例; 对照组颅骨修补侧和健侧头型对称12例，颞肌塌陷4例，头皮感染6例，线结外露5例，钛网翘起或外露3例，皮下积液3例。2组美容满意度相关指标和发生常见并发症患者例数比较，差异均有统计学意义(P < 0.05)。
结论三维塑型钛网颅骨成形术常见并发症发生率较低，患者美容满意度较高。

Abstract:
Objective To study the effect of cranioplasty with three-dimensional plastic titanium mesh in the repair of skull defects.
Methods A total of 45 patients with frontotemporal skull defects were randomly divided into observation group (n=29) and control group (n=16). The observation group was treated with three-dimensional plastic titanium mesh for cranioplasty, while the control group was treated with two-dimensional titanium mesh artificial shaping for skull repair. Beauty satisfaction related indicators in the two groups were compared.
Results At three months of follow-up after surgical treatment, there were 29 cases of symmetrical cephalic patterns on the cranial repair side and the undamaged side as well as 1 case of temporalis muscle collapse in the observation group. There were 12 cases of symmetrical cephalic patterns on the cranial repair side and the undamaged side, 4 cases of temporalis muscle collapse, 6 cases of scalp infection, 5 cases of line junction exposure, 3 cases of titanium mesh upturned or exposed, and 3 cases of subcutaneous hydrops in the control group. There were statistically significant differences between the two groups in terms of beauty satisfaction and the number of patients with common complications (P < 0.05).
Conclusion The incidence of common complications of cranioplasty with three-dimensional plastic titanium mesh is low, and the aesthetic satisfaction of the patients is high.

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