3D打印钛合金骨小梁金属臼杯全髋关节置换术的短期疗效

发布时间：2018-10-21 14:52

【摘要】：目的探究全髋关节置换术中采用3D打印钛合金骨小梁金属臼杯的临床短期疗效。方法选择新疆自治区人民医院关节外科2015-01-2016-05收治的行全髋关节置换术的骨关节炎、股骨头缺血性坏死和髋关节发育不良患者54例,根据患者的髋臼固定方法分为实验组和对照组,分别采用骨水泥人工髋臼杯和3D打印钛合金骨小梁金属臼杯固定,比较两组患者的术后Harris评分、UCLA评分和临床疗效。结果实验组患者的术后Harris评分和UCLA评分明显优于对照组患者,差异有统计学意义,P0.05;实验组患者临床治疗总有效率81.48%,对照组59.26%,两组临床治疗总有效率差异有统计学意义,P0.05。结论 3D打印钛合金作为临床新型医疗器械具有广泛在应用前景,3D打印钛合金骨小梁金属臼杯在全髋关节置换术患者中髋臼固定,促进髋关节的术后恢复,提高临床疗效,并发症发病率低,值得在临床上推广使用。
[Abstract]:Objective to investigate the short-term clinical effect of 3 D printing titanium alloy trabecular metal cup in total hip arthroplasty. Methods 54 patients with osteoarthritis, avascular necrosis of femoral head and dysplasia of hip were selected and divided into experimental group and control group according to the method of acetabular fixation. Bone cement acetabular cup and 3D printed titanium alloy trabecular metal cup were used to fix the patients. The postoperative Harris score, UCLA score and clinical efficacy were compared between the two groups. Results the Harris score and UCLA score in the experimental group were significantly better than those in the control group (P 0.05), the total effective rate of clinical treatment in the experimental group was 81.48, and that in the control group was 59.26. The total effective rate of the two groups was significantly higher than that of the control group (P0.05). Conclusion 3D printing titanium alloy as a new clinical medical device has a wide application prospect, 3D printing titanium alloy trabecular metal cup in total hip arthroplasty patients with acetabular fixation, promote the recovery of hip, improve the clinical efficacy. The incidence of complications is low, which is worth popularizing in clinic.
【作者单位】：新疆自治区人民医院;新疆医科大学第二附属医院;新疆自治区中医医院;新疆医科大学;
【分类号】：R687.4

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