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我国大部分医院神经外科都在使用TAH型钛网为颅骨缺损患者修补手术。为提高成型后质量;现就我们在实践中的体会,介绍如下。一、塑形方法:本材料适合上盖法。先用一块白纸放在患者颅骨缺损部位(叫做替样儿),左手固定,右手摸骨窗边缘,用笔分段点出颅骨缺损形状,而后放在桌上,用笔在画好的虚线处向外放大0.5cm处画出实线,再将纸贴在钛网上,按实线剪裁成形后边缘用普通钢错打磨备用。塑形方法分两种:1.用本院配备的成形器塑形时,向下压力不可过大过猛,以免钛网桥断裂,要反复多次轻压,最好边塑形边试放在患者缺损部位,头颅两侧必须对称。2.如无成形器也可用圆头木锤或硬胶皮锤垫在木板上敲击成型,力量要均匀.3.钛网边缘与颅骨必需贴敷良好,否则会影响美容或刺破头皮使钛网外露,修补失败。4.颅骨缺损在额部,眼眶及鼻根部者,可先用成型器缩成大概形状而后再用塑形钳或尖咀钳成型,两侧眼裂要相等。
Most of our hospital neurosurgery are using TAH titanium mesh for skull defect repair surgery. In order to improve the quality after molding; now we experience in practice, introduced below. First, the shaping method: The material suitable cover method. First with a piece of white paper on the patient's skull defect site (called for the sample), left hand fixed, right hand bone window edge, with a pen point out skull defect shape, and then on the table, with a pen in the painted dotted line Enlarge outward 0.5cm draw a solid line, and then paste the paper on the titanium mesh, according to the solid line after cutting the edge of the shape with ordinary steel grinding spare. Shaping methods are divided into two types: 1. Shaping the hospital equipped with the shape, the downward pressure can not be too large too much, so as not to break the titanium bridge, to repeatedly soft pressure, the best shape shaping test In the patient's defect site, both sides of the skull must be symmetrical. 2. If no shape can also use round wood hammer or hard rubber hammer pad in the wood forming percussion, strength should be uniform .3 Titanium mesh edge and the skull must be affixed well, or it will affect the beauty or piercing the scalp to make titanium Network exposed, patch failed. 4. Skull defects in the forehead, orbit and the nasal root who can be used to shrink into the shape of the former and then use the shape pliers or pliers molding, both sides of the eyelids to be equal.