Ma Shasha, Li Chenglong, Gu Yue, Chen Yang, Li Xuexin, Wang Qingbo, Xu Hongmei
Neurosurgery Department, Binzhou Medical University Hospital, Binzhou, 256600, China.
Department of Gerontology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, 264000, China.
Sci Rep. 2025 Mar 19;15(1):9545. doi: 10.1038/s41598-025-94246-0.
Wig protectors produced via 3D printing were used in skull protection protocols following decompressive craniotomy (DC) surgery. This study is a single-center, prospective trial involving 25 patients who underwent DC. Patients admitted between February 1, 2023, and June 30, 2023, were assigned to the control group (receiving standard care), while those admitted between July 1, 2023, and December 31, 2023, comprised the experimental group (receiving 3D-printed wig protection). The study evaluated participants based on various metrics, including reinjury at the site of the skull defect, daily wear duration, skin indentation, pain levels, itching, discomfort, patient-reported aesthetics, and the Quality of Life (QLQ-C30). They completed both wear assessments and follow-up evaluations at 1, 4, 8, and 12 weeks. Post-intervention, the experimental group exhibited a lower incidence of secondary injuries compared to the control group (0 vs. 3, P = 0.206). At the three-month follow-up, the experimental group demonstrated better outcomes in self-assessed aesthetics (P = 0.025) and QLQ-C30 scores (P = 0.041). The 3D-printed wig protector had a weight of 132.3 ± 11.98 g (ranging from 111 to 146 g), and none of the patients in the experimental group reported pain, pressure, itching, or discomfort during the first 30-min wear period. On average, patients wore the device for 2.01 ± 0.22 h in week 1, 5.71 ± 0.40 h in week 4, 6.04 ± 0.10 h in week 8, and 5.93 ± 0.47 h in week 12. While some patients reported minor skin indentation, pain, itching, or a sensation of stuffiness, no serious adverse events were observed.
通过3D打印生产的假发保护器用于减压颅骨切开术（DC）手术后的颅骨保护方案。本研究是一项单中心前瞻性试验，涉及25例接受DC手术的患者。2023年2月1日至2023年6月30日入院的患者被分配到对照组（接受标准护理），而2023年7月1日至2023年12月31日入院的患者组成实验组（接受3D打印假发保护）。该研究基于各种指标对参与者进行评估，包括颅骨缺损部位的再次受伤情况、每日佩戴时长、皮肤压痕、疼痛程度、瘙痒、不适、患者报告的美观度以及生活质量（QLQ-C30）。他们在第1、4、8和12周完成了佩戴评估和随访评估。干预后，实验组的二次损伤发生率低于对照组（0例 vs. 3例，P = 0.206）。在三个月的随访中，实验组在自我评估的美观度（P = 0.025）和QLQ-C30评分（P = 0.041）方面表现出更好的结果。3D打印假发保护器的重量为132.3±11.98克（范围为111至146克），实验组中没有患者在最初30分钟的佩戴期间报告疼痛、压力、瘙痒或不适。平均而言，患者在第1周佩戴该装置2.01±0.22小时，第4周佩戴5.71±0.40小时，第8周佩戴6.04±0.10小时，第12周佩戴5.93±0.47小时。虽然一些患者报告有轻微的皮肤压痕、疼痛、瘙痒或闷胀感，但未观察到严重不良事件。
