三维成像二维钛网成形修补颅骨缺损的临床体会

Clinical research on two-dimensional shaping titanium mesh to repair skull by three-dimensional imaging

关键词:  三维成像  二维钛网  三维钛网

Key words:  three-dimensional imaging(TDI)  two-dimensional titanium mesh  three-dimensional titanium mesh

摘要:

［目的］探讨三维成像二维钛网成形颅骨修补术的临床应用经验。［方法］选择2004年7月~2007年2月收治的87例颅骨缺损患者，其中45例行三维钛网修补，42例行三维成像二维钛网修补，随访修补效果。［结果］随访0.5~3年，三维钛网组发生并发症16例，其中钛网内陷2例，钛网切割头皮致钛网外露3例，边缘翘起2例，术后感染1例，皮下积液8例；二维钛网组2例出现皮下积液。［结论］三维成像二维钛网颅骨修补避免了三维钛网的缺点，减少了并发症，具有临床推广及应用价值。

Abstract:

［Objective］To discuss the clinical application experience of skull repairing operation with two-dimensional shaping titanium mesh by three-dimensional imaging(TDI).［Methods］We selected 87 patients of skull defect from 2004,7~2007,2, In which 45 cases were performed with three-dimensional titanium mesh,42 cases were performed with two-dimensional titanium mesh by TDI.After operation,they were followed.［Results］After the follow-up period(6 months to 3 years),15 cases had complications in three-dimensional titanium mesh group,In which 2 cases titanium mesh sank,3cases showed outside due to cutting scalp, 2 cases rose on borders,1 case was infected,8 cases were subcutaneous hydrops.In two-dimensional titanium mesh group,2 case were subcutaneous hydrops.［Conclusion］Two-dimensional shaping titanium mesh by TDI avoids the shortcomings of three-dimensional titanium mesh and reduces some complications,so it has applicable and popularized clinical value.