三维成像无模多点钛网成形人工颅骨修补的临床价值(附32例报告)

目的：探讨无模多点成形技术在神经外科颅骨缺损治疗中的临床价值。方法：我院2003年7月～2004年5月共治疗颅骨缺损患32例，术前全部行颅骨CT薄扫(1mm／层)检查．应用三维成像无模多点钛网成形技术行人工颅骨修补并与传统钛网手械塑形人工颅骨修补术的术前神经外科医师塑形工作量、麻醉及手术操作时间，术后患对塑形的满意程度等方面进行比较。结果：三维成像无模多点成形钛网人工颅骨修补优于传统钛网的手工塑形人工颅骨修补。术后患对塑形的满意度达到100％。结论：三维成像无模多点成形钛网人工颅骨修补．缩短了麻醉及手术治疗时间．显提高了患的生活质量。同时减轻了神经外科医师的工作强度，具有推广及应用价值。

Clinic Value on Shaping Titanium Armor Plate to Repair Skull by Nonmodel Multi-spot Three-dimension Imaging

Objective To explore the clinic value of nonmodel multi-spot shaping technique in neurosurgical skull defect treatments.Method:32 patients suffered from skull defect have been cured in my hospital from July 2003 to May 2004.All patients were performed CT folium scan (1mm/layer)before operations.Repairing skull with nonmodel multi-spot titanium armor plate shaping technique is compared with that of traditional handwork shaping in the following aspects neurosurgenons'shaping workload before operations;anaesthetic and operational time;the approving scale on shaping after operations.Result:Repairing skull with the technic of nonmodel multi-spot three-dimension imaging shaping is better than handwork.the approving scale of patients attain 100% after operations.Conclusions:Repairing skull with the technic of nonmodel multi-spot shaping titanium armor plate shorten anaesthetic and operational time,improve patients'living quality remarkably,ease neurosurgeons'working intensity and take on popularization and application value.