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目的:分析电脑塑形钛网颅骨修补术治疗颅脑外伤术后额颞部颅骨缺损的效果。方法:本研究选取2011年11月至2013年10月120例颅脑外伤术后额颞部颅骨缺损患者为对象,将其随机分组。对照组患者采用手工塑形钛网进行颅骨修补,实验组患者采用电脑塑形钛网进行颅骨修补。对比分析两组患者手术时间、钛钉用量的差异。术后随访1年以上,观察是否出现钛网松动、翘起、皮下积液、颞肌疼痛等手术并发症。结果:采用t检验分析进行数据统计,实验组患者手术时间短于明显对照组,钛钉用量明显低于对照组,差异有统计学意义(P<0.05)。采用卡方检验分析进行数据统计,实验组患者钛网松动、翘起、皮下积液、颞肌疼痛等手术并发症发生率明显低于明显对照组,差异有统计学意义(P<0.05)。结论:采用电脑塑形钛网颅骨修补术治疗颅脑外伤术后额颞部颅骨缺损的效果满意,手术时间短、钛钉用量少,其术后并发症风险较低,是额颞部颅骨修补的理想选择。
Objective: To analyze the effect of computerized titanium mesh skull repair on frontotemporal skull defects after craniocerebral trauma. Methods: In this study, 120 patients with frontotemporal skull defects after traumatic brain injury from November 2011 to October 2013 were selected and randomly divided into two groups. Patients in the control group were treated with manual shaping of titanium mesh for skull repair. Patients in the experimental group were treated with computerized titanium mesh for skull repair. Comparative analysis of two groups of patients operating time, titanium nail dosage differences. Follow-up more than 1 year after surgery to observe whether titanium mesh loose, tilt, subcutaneous fluid, temporal muscle pain and other surgical complications. Results: The t test was used to analyze the data. The operation time of the experimental group was shorter than that of the control group, and the dosage of titanium nail was significantly lower than that of the control group (P <0.05). The chi-square test was used to analyze the data. The incidence of complications such as titanium mesh loosening, cocking, subcutaneous effusion and temporal muscle pain in the experimental group was significantly lower than that in the control group (P <0.05). CONCLUSIONS: Computerized titanium mesh skull repair is effective in treating frontotemporal skull defects after craniocerebral trauma. The operation time is short, the dosage of titanium nail is small, and the risk of postoperative complications is low. The frontotemporal skull Ideal for patching.