摘要： 回顾分析数字化塑形二维或三维钛网修补颅骨缺损患者临床疗效。结果显示，86 例患者中82 例术后达Ⅰ期愈合，术后并发症包括钛网外露（1 例）、皮下积液（2 例）、轻微咬合疼痛（1 例）、切口瘢痕增生明显致外观欠佳（1 例）。提示数字化塑形钛网修补颅骨缺损可最大程度地恢复缺损外形、降低手术风险、减少并发症，且临床疗效满意。

关键词: 钛, 颅骨切开术

Abstract: Objective To explore the clinical value of repairing skull defects with titanium alloy-mesh of computer-aided design.  Methods  A retrospective analysis was done on clinical data of 86 cases with skull defects who underwent repairing using titanium mesh with two-dimensional or three-dimensional computer-aided design.  Results  All the incisions achieved primary healing other than one case conducting reoperation due to exposed titanium mesh. Two cases got subcutaneous exudate, one obtained painful mastication and one experienced proliferation of scalp scar.  Conclusions  With the computer-aided designated titanium mesh, relevant operation can resume the original state to maximum extent, lower surgical risk, decrease post-operational complications and then obtain satisfying clinical effect.

Key words: Titanium, Craniotomy