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1、中国组织工程研究与临床康复第12卷第52期2008–12–23出版JournalofClinicalRehabilitativeTissueEngineeringResearchDecember23,2008Vol.12,No.52临床医学数字化塑形与手工塑形钛网在大面积颅骨缺损修补应用中的比较★刘寿堂,李连,韦红恩,朱达,叶俊,于路,唐玺和,赵黎明DigitalshapedtitaniummeshversusmanualshapedtitaniummeshincranioplastyoflargeskulldefectsLiu
2、Shou-tang,LiLian,WeiHong-en,ZhuDa,YeJun,YuLu,TangXi-he,ZhaoLi-mingAbstractBACKGROUND:Individualizedmodeledtitaniummeshwithcomputer-aideddesign(CAD)canbestachievephysiologicandDepartmentofanatomicalmoldingduringlargedefectofskullinthefrontotemporalarea.Neurosurgery,Li
3、uzhouPeople’sOBJECTIVE:toTostudycompareandobservethecranioplastyeffectofuseofindividuallyizedmodeledtitaniummeshwithHospital,Liuzhoucomputer-aideddesign(CAD)andmanualmodeledtitaniummeshforcranioplastyoflargeskulldefectsinthefrontotemporalarea.545001,GuangxiDESIGN,TIM
4、EANDSETTING:ComparativeobservationwasperformedattheDepartmentofNeurosurgery,LiuzhouPeople’sZhuangAutonomousHospitalbetweenJanuary2004andJuly2008.Region,ChinaPARTICIPANTS:Sixty-twopatientsundergoingcranioplastywereselectedincluding43malesand19femalesaged16-58years.Liu
5、Shou-tang★,METHODS:CAD/CAMandrapidshapingtechniquewereappliedtomakeindividualprefabricatedtitaniummesh.CranioplastywasMaster,Attendingcarriedoutin28patientswithlargeparietalskulldefectsinthefrontotemporalarea.And34Thirty-fourpatientswithtraditionalmanualphysician,Dep
6、art-shapingservedascontrolgroup;28patientswiththemeshdesignedbyCAD/CAMandrapidshapingtechnique.mentofNeurosur-gery,LiuzhouPeo-MAINOUTCOMEMEASURES:oup.Shapingquality,operationtime,consumptionoftitaniumscrews,complicationsandsatisfactoryple’sHospital,rateafteroperation
7、werecompared.Liuzhou545001,RESULTS:Comparedwithtraditionalmanualshapinggroup,theoperationtimeofCADgroupwasabout30minutesshorter(P<0.05),GuangxiZhuangandthetitaniumscrewswerefewer(P<0.05).TheshapesofCADtitaniumprosthesisweresmoothandwithnaturalcurve.WiththeAutonomousR
8、egion,Chinabeautifulandsymmetriclookingthesatisfactoryrateofpatientsreached96.5%,higherthanmanualshapinggroup(82.4%,P<0.05).Noliush