摘要
目的探讨三维塑型钛网颅骨成形术在颅骨缺损修复中的应用价值。方法收集于2018年7月—2020年7月在本院因颅脑损伤行钛网修补术的45例患者资料,依照手术方法的不同将患者分为观察组(n=24)与对照组(n=21),比较2组患者的手术时间、术中出血量、住院时间、钛钉使用数量、美国国立卫生研究院卒中量表(NIHSS)评分、术后3个月的美容满意度情况。结果观察组患者的手术时间和住院时间明显短于对照组,术中出血量和钛钉使用数量少于对照组,且差异均有统计学意义(均P<0.05)。手术前,2组患者的NIHSS评分比较,差异无统计学意义(P>0.05);术后1年,2组患者的NIHSS得分较术前明显降低,且观察组明显低于对照组,差异均有统计学意义(均P<0.05)。观察组患者术后3个月的美容满意度为100.0%,高于对照组的57.1%,差异有统计学意义(P<0.05)。结论三维塑形钛网颅骨成形术应用于颅骨缺损修复中,患者手术时间短、术中出血量少,钛钉使用数量少,且利于术后神经功能的改善,还能获得更高的美容满意度,值得临床推广应用。
Objective To investigate the value of three-dimensional plastic titanium mesh cranioplasty in the repair of skull defects.Methods The data of 45 patients who underwent titanium mesh repair for craniocerebral injury in our hospital from July 2018 to July 2020 were collected.The patients were assigned to the observation group(n=24)and control group(n=21)following different surgical methods.The operation time,intraoperative blood loss,length of hospital stay,number of titanium nails used,National Institutes of Health Stroke Scale(NIHSS)score,and cosmetic satisfaction at 3 months after operation were compared between the two groups.Results The operation time and length of hospital stay in the observation group were significantly shorter than those in the control group,and the intraoperative blood loss and the number of titanium nails used in the observation group were less than those in the control group,with statistically significant differences(all P<0.05).Be-fore the operation,there was no significant difference in the NIHSS score between the two groups(P>0.05).The NIHSS score in the two groups 1 year after the operation was significantly lower than that before the operation,and the observation group was sig-nificantly lower than the control group,and the difference was statistically significant(all P<0.05).The cosmetic satisfaction rate 3 months after the operation in the observation group was 100.0%,which was higher than that in the control group(57.1%),and the difference was statistically significant(P<0.05).Conclusion Three-dimensional plastic titanium mesh cranioplasty in the re-pair of skull defects has the advantages of a short operation time,less intraoperative blood loss,less use of titanium nails,conducive to the improvement of postoperative neurological function,and can obtain higher cosmetic satisfaction.These advantages hold prom-ise for a wider application of this technique clinically.
作者
刘宇
Liu Yu(Neurosurgery Department,Yingkou Chinese Medicine Hospital,Yingkou Liaoning 115001,China)
出处
《保健医学研究与实践》
2022年第9期36-38,共3页
Health Medicine Research and Practice
关键词
二维塑型钛网
三维塑型钛网
颅骨成形术
颅骨缺损修复
2-dimensional plastic titanium mesh
3-dimensional plastic titanium mesh
Cranioplasty
Skull defect repair
