《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (07): 681-682.

• 临床研究 • 上一篇    下一篇

64排容积CT三维成像技术在颅骨修补术中的应用

袁进国;王志明;曹藏柱;谭振美;冯斌;韩树生;孙印臣   

  1. 解放军第251医院神经外科,河北张家口市 075000
  • 收稿日期:2009-01-07 出版日期:2009-07-01 发布日期:2009-07-01

Application of 64-Row Volumetric CT Three Dimensional Image Formation in Skull Neoplasty

YUAN Jin-guo,WANG Zhi-ming,CAO Zang-zhu,et al   

  1. Department of Neurosurgery, the 251st Hospital of PLA, Zhangjiakou 075000, Hebei, China
  • Received:2009-01-07 Published:2009-07-01 Online:2009-07-01

摘要: 目的 探讨利用64排容积CT颅骨三维成像并塑形钛网应用于颅骨修补术的价值。方法 40例患者随机分为术前手工塑形组21例:术前利用64排容积CT颅骨三维成像,根据所得数据及实体,制作出与缺损部位吻合良好的塑形钛网修补颅骨缺损; 术中手工塑形组19例:初步估算钛板的大小并在手术中修剪塑形修补颅骨缺损。比较两组塑形质量、术中医师塑形时间、麻醉时间及手术操作时间。结果 两组均取得满意的塑形质量。术前手工塑形组术中医师塑形时间、麻醉时间和手术操作时间少于术中手工塑形组(P<0.05),术后无并发症。结论 64排容积CT三维成像技术应用于颅骨修补术减轻神经外科医师的工作强度及患者的风险。

关键词: 颅骨缺损, 颅骨修补术, 钛网, 64排容积CT, 三维成像

Abstract: Objective To assess the application of 64-row volumetric CT three dimensional image formation to shape the titanium mesh for the skull neoplasty. Methods 40 cases were divided into the shaping before operation group (21 cases), in which the titanium meshes were shaped with the data from 64-row volumetric CT skull three dimensional image formation before operation; and the shaping during operation group (19 cases), in which the titanium meshes were shaped approximately before and exactly during operation. The time of shaping, anaesthesia and the whole operating were compared, and the qualities of the skull plasty were assessed. Results All the skull repaired satisfactorily. The time of shaping, anaesthesia and the whole operating was shorter in shaping before operation group than in shaping during operation group (P<0.05). No complication was observed. Conclusion Application of 64-row volumetric CT three dimensional image formation in the skull neoplasty may reduce the surgery time and risk.

Key words: skull damage, skull neoplasty, titanium mesh, 64-row volumetric CT, three dimensional image formation