3D打印辅助手术治疗胫骨平台骨折疗效的Meta分析

发布时间：2018-04-29 22:16

本文选题：胫骨骨折 + 循证医学　；参考：《中国组织工程研究》2017年23期

【摘要】：背景:3D打印这一技术在骨科领域的应用前景广阔,特别是在胫骨平台骨折这类复杂手术中,具有很好的指导和辅助作用,目前国内外相关研究较少,缺乏循证医学证据,不能很好地说明问题。目的:通过M eta分析对比3D打印技术辅助手术与传统的非3D打印技术辅助手术修复胫骨平台骨折的疗效差异。方法:计算机检索M EDLINE、Cochrane图书馆、Embase、中国生物医学文献数据库、CNKI、万方数据库,手动检索相关文献的参考文献等,收集3D打印技术辅助手术与传统的非3D打印技术辅助手术修复胫骨平台骨折的对比研究,严格评价纳入研究的质量并提取数据,统计学软件采用采用S tata 11.0(Stata Corporation,College Station,TX)软件。结果与结论:(1)共纳入7篇对照研究,受试者共362例;(2)Meta分析显示,与传统的非3D打印技术辅助手术修复胫骨平台骨折相比,3D打印辅助技术组的手术时间短(SMD=-2.411,95%CI为-2.718至-2.104,P=0.00)、术中出血量少(SMD=-1.579,95%CI为-1.842至-1.316,P=0.00);其他指标如术后膝关节Rasmussen评分优良率和术后膝关节H SS评分优良率,2组差异无显著性意义(P0.05),(3)以上结果表明,在治疗胫骨平台骨折时,与传统的手术方法相比,3D打印辅助技术辅助手术能明显缩短手术时间、减少术中出血量。
[Abstract]:Background: the application of 3D printing technology in the field of Department of orthopedics is very promising, especially in the complicated operation of tibial plateau fracture, which has good guidance and auxiliary effect. At present, there are few related studies at home and abroad, lack of evidence-based medical evidence and can not explain the problem well. Traditional non 3D printing technique assists surgical repair of tibial plateau fractures. Methods: computer retrieval of M EDLINE, Cochrane library, Embase, Chinese biomedical literature database, CNKI, Wanfang database, manual retrieval of references of relevant literature, etc., to collect the auxiliary operation of 3D printing technology and the traditional non 3D printing technology assistance A comparative study of surgical repair of tibial plateau fractures was conducted, and the quality of the inclusion study was strictly evaluated and data were extracted. The software used S Tata 11 (Stata Corporation, College Station, TX). Results and conclusions: (1) a total of 7 controlled studies were included, 362 subjects were tested, and (2) Meta analysis showed that it was assisted with the traditional non 3D printing technology. Compared with the surgical repair of tibial plateau fractures, the 3D printing assisted group had shorter operative time (SMD=-2.411,95%CI -2.718 to -2.104, P=0.00), less bleeding in the operation (SMD=-1.579,95%CI -1.842 to -1.316, P=0.00), and other indicators such as the good rate of Rasmussen score of the knee joint and the good rate of H SS score after operation, there was no significant difference between the 2 groups. Meaning (P0.05), (3) the above results show that, in the treatment of tibial plateau fractures, compared with the traditional surgical methods, 3D printing assisted surgery can significantly shorten the operation time and reduce the amount of bleeding during the operation.

【作者单位】：河北医科大学第三医院;
【基金】：国家自然科学基金青年科学基金项目(81401789)~~
【分类号】：R687.3;TP391.73

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