计算机辅助三维成型颅骨修补术与传统颅骨修补术的对比研究

目的比较计算机辅助三维成型颅骨修补术与传统颅骨修补术修补颅骨缺损的效果。方法将84例术后颅骨缺损的患者分为两组,分别进行计算机辅助三维成型颅骨修补术与传统修补术。通过比较两组间手术时间、外形对称性及术后并发症发生率来评判不同手术方式的优劣。结果计算机辅助组患者的塑形时间、手术时间和麻醉时间相比传统组患者均明显减少,差异均有统计学意义(t分别=2.42、2.70、2.79,P均<0.05)。计算机辅助组患者复查后头颅CT显示修复后颅骨形状对称性更好,使患者头颅外形最大程度的恢复生理原貌。三维成型颅骨修补术后患者恢复良好,术后无1例出现感染、出血等并发症。结论计算机辅助三维成型颅骨修补术相比传统颅骨修补术具有更好的效果。

Comparative study of computer aided three-dimensional reconstruction of cranial defect cranioplasty and conventional cranioplasty

Objective To compare the effect between computer aided three-dimensional reconstruction of cranial defect cranioplasty and conventional cranioplasty. Methods A total of 84 patients with cranial defects were divided into two groups. One group recevied three-dimensional reconstruction of cranial defect cranioplasty, the other group recevied conventional cranioplasty. Two methods were evaluated through comparing the time of surgery, cosmetic effect and the rate of complications ocurring. Results The group of Three-dimensional reconstruction of cranial defect cranioplasty had shorter moulding time, surgery time and anesthesia time. The differences were statistically significant （t=2.42, 2.70, 2.79,P〈 0.05）.The group of three-dimensional reconstruction of cranial defect cranioplasty had better cosmetic effect; and the patients recovered well without complications such as postoperative infection, blood loss. Conclusions Computer aided three- dimensional reconstruction of cranial defect cranioplasty was more feasible and accurate than conventional cranioplasty.