钛网数字化多点成形技术在颅骨缺损修补中的应用

doi:吉林省科技厅资助课题（20030536）

钛网数字化多点成形技术在颅骨缺损修补中的应用

付双林¹，陈儇¹，王海峰¹，付文智²

1. 吉林大学第一医院神经外科，吉林长春130021；2. 吉林大学无模成形技术开发中心，吉林长春130025

收稿日期:2005-03-06 修回日期:1900-01-01 出版日期:2006-01-28 发布日期:2006-01-28

Application of shaping titanium mesh by multi-pointforming technique in skull repairing

FU Shuang-lin¹, CHEN Xuan¹, WANG Hai-feng¹, FU Wen-zhi²

1. Department of Neurosurgery, First Hospital, Jilin University, Changchun 130021, China; 2. Dieless-Forming Technology Center， Jilin University, Changchun 130025, China

Received:2005-03-06 Revised:1900-01-01 Online:2006-01-28 Published:2006-01-28

摘要/Abstract

摘要： 目的：选择性能优良且安全的颅骨修补材料，探讨数字化多点成形技术在颅骨修补中的临床应用价值。方法：颅骨缺损患者161例，采用钛网数字化多点成形技术进行颅骨修补43例，传统钛网人工塑形修补19例，骨水泥塑形修补99例；对比不同颅骨修补术的塑形工作量、手术时间、术后患者对塑形的满意度及术后并发症。结果：钛网数字化多点成形颅骨修补术平均手术时间［（30±6）min］，与骨水泥组［（70 ±18）min］和传统钛网人工塑形组［（50±11）min］比较明显缩短（P<0.01）；平均术中塑形工作量［（5±1）min］少于骨水泥组［（30±5）min］和传统钛网人工塑形组［（20±3）min］（P<0.05）；塑形满意度（100％）优于骨水泥组（91％）和传统钛网人工塑形组（95％）（P<0.05）。结论：钛网的性能明显优于骨水泥，钛网数字化多点成形技术修复颅骨缺损效果优于传统钛网人工塑形技术。

关键词: 颅骨, 外科学, 颅骨修补, 钛, 多点成形

Abstract: Objective To select materials with high quality and safety and evaluate the clinical value of multi-point forming technique in skull repairing. Methods 161 patients suffered from skull defect had been cured in our hospital, within them 43 patients were treated with multi-point forming technique in titanium mesh shaping, 19 patients with traditional handwork shaping, 99 patients with bone-like concrete (acrylate). The following aspects were analyzed and compared：neurosurgeons′ shaping workload before operations,operative time, approving scale on shaping and complications after operation. Results Repairing skull by titanium mesh with the technique of multi-point shaping significantly shortened the average operative time to （30±6） min, compared with acrylate group (70±18 min) and titanium mesh trad itional handwork shaping group (50±11 min) (P<0.01); and decreased the neurosurgeons′　working intensity of shaping time to （5±1 min）, compared with acrylate group (30±5 min) and traditional handwork shaping group (20±3 min) (P<0.05); and improved the patients′ approving scale to 100%, compared with acrylate group (91%) and traditional handwork shaping group (95%) (P<0.05).Conclusion The quality of titanium mesh is obviously better tha n acrylate, the effect of repairing skull with multi-point forming technique is superior to handwork shaping.

Key words: skull, surgery, skull repairing, titanium, multi-point forming

中图分类号:

R651.15

付双林，陈儇，王海峰，付文智. 钛网数字化多点成形技术在颅骨缺损修补中的应用[J]. J4, 2006, 32(1): 119-3.

FU Shuang-lin, CHEN Xuan, WANG Hai-feng, FU Wen-zhi. Application of shaping titanium mesh by multi-pointforming technique in skull repairing[J]. J4, 2006, 32(1): 119-3.

[1]	王冲, 郝铮, 刘伟明, 赵丛海, 张金男. 颅脑损伤后硬膜外血肿骨化1例报告及文献复习[J]. 吉林大学学报(医学版), 2018, 44(03): 628-630.
[2]	孙颖, 王成坤, 周园园, 唐晓丽, 秦娇娇, 朱亚平, 焦珊. 3种往复旋转单支镍钛器械预备人下颌标本切牙根管后牙根微裂形成的比较[J]. 吉林大学学报(医学版), 2018, 44(01): 121-125.
[3]	张玮航, 张虎, 李英姿, 汪德州, 张艳, 宋文植. 3D打印激光快速成型牙种植体的制备及其机械性能分析[J]. 吉林大学学报(医学版), 2017, 43(01): 52-56.
[4]	吴嫣然, 杨陆一, 刘军, 殷红, 牟胤赫, 夏小雪, 滕蓉. 类金刚石涂层与未涂层镍钛丝在人工唾液中耐腐蚀性能的比较[J]. 吉林大学学报(医学版), 2016, 42(03): 517-522.
[5]	姜玮, 杨陆一, 朱惠芳, 董妍, 牟胤赫, 吴嫣然, 宁磊. 甲基丙烯酸偶联二氧化钛对自凝树脂机械性能的影响[J]. 吉林大学学报(医学版), 2015, 41(05): 946-950.
[6]	张静文, 郑连文, 常笑语, 刘永正, 高利伟, 付璐璐, 徐影. 宫颈癌根治术后反射性尿闭1例报告并文献复习[J]. 吉林大学学报(医学版), 2015, 41(04): 854-857.
[7]	王晓龙, 胡敏. 锁骨颅骨发育不全综合征患者口腔正畸治疗方法的研究进展[J]. 吉林大学学报(医学版), 2015, 41(02): 425-428.
[8]	陈瑜,李梦洁,尹硕,王贺,李雯,唐宇欣,张颖丽. 牙胶尖对机用镍钛器械预备弯曲根管的适应性评价[J]. 吉林大学学报(医学版), 2014, 40(02): 316-320.
[9]	郭婷婷,王成坤. Path File镍钛锉建立根管治疗疏通通道和根管预备的临床效果评价[J]. 吉林大学学报(医学版), 2014, 40(02): 413-417.
[10]	刘铭，魏小兰，陈婷梅，姜蓉，张健. 盐溶法构建磨损颗粒诱导小鼠颅骨溶解模型方法的建立及评价[J]. 吉林大学学报(医学版), 2013, 39(5): 1041-1044.
[11]	王瑞，周延民. 飞秒激光在钛合金表面改性中的应用及其对成骨细胞黏附和增殖的影响[J]. 吉林大学学报(医学版), 2013, 39(3): 453-457.
[12]	刘铭，张健，陈婷梅，陈文直，姜蓉. 低强度超声对颅骨溶解模型小鼠磨损颗粒诱导的骨溶解效应的影响[J]. 吉林大学学报(医学版), 2013, 39(2): 304-307.
[13]	王成坤 \|焦珊\|郭秦榕. 非国际化标准机用镍钛根管预备器械研究进展[J]. J4, 2012, 38(3): 607-610.
[14]	何钟勤\|高心\|田小华\|钟丞\|薛莹\|李倪娜\|王志刚\|刘晓红\|孙晓宇. 煅烧骨颗粒大小对兔颅骨缺损引导成骨作用的影响[J]. J4, 2012, 38(1): 75-78.
[15]	唐成林,张静哲，王汉中,刘光耀. 外科不同术式治疗先天性马蹄内翻足临床疗效比较[J]. J4, 2008, 34(4): 698-701.