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目的探讨利用CT资料应用计算机三维塑形钛金属板治疗颅骨缺损的疗效。方法对12例颅骨缺损患者在颅骨缺损60～180d内行颅骨缺损修复术,修补材料均应用钛网。术前应用螺旋CT薄层扫描,利用计算机进行颅骨三维重建,得到与患者头颅逼真的三维模型,设计出与患者缺损部位完全吻合的修复体。结果术后切口均一期愈合,局部无红肿,外观无畸形,头颅对称,临床效果良好。结论应用计算机三维塑形钛金属板修复颅骨缺损具有吻合精度高,手术时间短,安装简单,术中无需塑形,术后无张力,固定稳同,外观形态好,符合美容及生理机能要求等优点,临床应用前景广阔。
Objective To investigate the curative effect of using computed tomography (CT) on three-dimensional titanium plate in the treatment of skull defects. Methods Twelve patients with skull defects underwent skull defect repair within 60-180 days after skull defect. Titanium mesh was used to repair the skull defects. Preoperative application of spiral CT thin-layer scanning, the use of computer cranial three-dimensional reconstruction, with the patient’s head realistic three-dimensional model, designed to fully consistent with the patient defect repair body. Results All incisions healed in one time, no local swelling, no deformity in appearance, symmetrical head and good clinical effect. Conclusion The three-dimensional computerized titanium plate for the repair of skull defects has the advantages of high accuracy of anastomosis, short operative time, simple installation, no need of plastic surgery, no tension after operation, stable and stable appearance, good appearance and appearance, in line with requirements of beauty and physiology Advantages, broad clinical application.