摘要
背景:临床上,颅骨修补的材料种类繁多,分为自体骨及人工材料,后者包括高分子聚合材料(硅胶板)及钛合金网。那么,哪种材料最具临床应用价值呢?目的:探讨各种颅骨修补材料在颅骨成型中的应用价值。方法:回顾性分析2000-02/2010-06因颅骨缺损而行颅骨成型的78例临床资料,其中硅胶板修补颅骨19例,二维钛网26例,数字化三维钛网33例。主要从修补时间、费用、患者的美容及心理康复程度进行分析比较。结果与结论:数字化三维钛网组较硅胶板及二维钛网组在手术时间上明显缩短,外观上完全恢复解剖,但数字化三维钛网组费用明显高于硅胶板及二维钛网组,而且数字化三维钛网硬度较弱,抗碰撞能力较二维钛网组低。结果提示,数字化二维钛网可以避免在手术中塑型,缩短手术时间,外观上完全恢复解剖,费用较低,且硬度大,抗碰撞能力强。
BACKGROUND：Clinically,there are a wide variety of materials for skull cranioplasty,and can be divided into autogenous bone and artificial materials,which include polymer materials（silica gel plate） and titanium mesh.So,what kind of material exhibits the most clinical value？ OBJECTIVE：To explore the application value of various skull cranioplasty materials.METHODS：A retrospective analysis of clinical data in 78 patients who underwent cranioplasty due to skull defects were performed from February 2000 to June 2010,including 19 cases of skull repair using silica gel plate,26 cases using two-dimensional titanium mesh,and 33 cases using digital three-dimensional titanium mesh.The patients were analyzed and compared in the operation time,cost,cosmetic and psychological rehabilitation.RESULTS AND CONCLUSION：The operative time in digital three-dimensional titanium mesh group was significantly shorter than in the silica gel plate group and two-dimensional titanium mesh group,anatomical appearance was full restored,but the digital three-dimensional titanium mesh group had significantly higher cost than silica gel plate group and two-dimensional titanium mesh group.In addition,digital three-dimensional titanium mesh was less hardened,anti-collision ability was lower than that in two-dimensional titanium mesh.The results suggest that,digital two-dimensional titanium mesh can avoid operative plastotype,shorten the operation time,fully restore anatomical appearance,has a low cost,great hardness and strong anti-collision capability.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2011年第8期1503-1506,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
