3D打印与虚拟手术设计在复杂胫骨平台骨折手术治疗中的应用

发布时间：2018-03-10 06:04

本文选题：胫骨平台骨折　切入点：计算机辅助　出处：《中国骨与关节损伤杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的探讨应用3D打印技术结合虚拟手术设计内固定治疗复杂胫骨平台骨折的疗效。方法笔者自2013-01—2014-12诊治复杂胫骨平台骨折45例,按入院先后顺序的奇偶性分为A组(应用3D打印虚拟手术)和B组(应用常规手术)。A组术前采用三维重建、虚拟复位、3D打印及个性化模型预手术。比较2组手术时间及钢板一次性放置率、复位满意度、膝关节功能等。结果所有患者获得随访6~30个月,平均16.8个月。2组切开显露时间差异无统计学意义(P0.05);A组在复位固定时间上低于B组,2组钢板一次性放置率(χ~2=7.238,P=0.007)、复位满意度(χ~2=4.499,P=0.034)比较,差异有统计学意义;A组术后HSS评分优良率91%,高于B组优良率77%,2组优良率比较差异无统计学意义(χ~2=1.658,P=0.194)。结论 3D打印结合虚拟手术内固定可提升胫骨平台骨折整体手术效果。
[Abstract]:Objective to investigate the curative effect of the combined application of 3D printing technology, virtual surgery design of internal fixation for the treatment of complex tibial plateau fractures. Methods the author from 2013-01 - 2014-12 in diagnosis and treatment of complex tibial plateau fracture 45 cases, according to the parity of the admission order divided into group A (Application of 3D printing and B (virtual surgery group) using conventional surgery).A group before operation by 3D reconstruction, virtual reset, 3D printing and personalized model of pre operation. The 2 groups were compared in operation time and plate placed reduction rate, satisfaction, knee joint function. Results all patients were followed up for 6~30 months, average 16.8 months in group.2 incision exposure time had no significant difference (P0.05); A group was lower than that of B in the group of fixation time, 2 groups of plate placed rate (x ~2=7.238, P=0.007), reset satisfaction (x ~2=4.499, P=0.034), the difference was statistically significant; group A postoperative HSS score excellent rate of 91%, higher than that of B group. The good rate was 77%. There was no significant difference in the excellent and good rate between the 2 groups (chi ~2=1.658, P=0.194). Conclusion 3D printing combined with virtual surgery internal fixation can improve the operative effect of tibial plateau fracture.

【作者单位】：广东医学院研究生院;南方医科大学第五附属医院骨科;
【基金】：南方医科大学创新驱动推进项目(CX2015N010)
【分类号】：R687.3

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