[1]宋修刚 谭勇海 严伟 鞠昌军 王艺钧 孙文学 姜红江△.三维打印技术在胫腓骨骨折诊疗中的临床应用[J].中国中医骨伤科杂志,2019,27(10):19-21.
　SONG Xiugang TAN Yonghai YAN Wei JU Changjun WANG Yijun SUN Wenxue JIANG Hongjiang.Clinical Application of 3Dimension Printing Technique in Personalized Diagnosis and Treatment of Tibia and Fibular Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(10):19-21.
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三维打印技术在胫腓骨骨折诊疗中的临床应用()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年10期
页码:
19-21
栏目:
临床研究
出版日期:
2019-10-10

文章信息/Info

Title:
Clinical Application of 3Dimension Printing Technique in Personalized Diagnosis and Treatment of Tibia and Fibular Fractures
文章编号:
1005-0205(2019)10-0019-03
作者:
宋修刚1 谭勇海1 严伟1 鞠昌军1 王艺钧1 孙文学1 姜红江1△
1山东省文登整骨医院(山东 威海,264400)
Author(s):
SONG Xiugang1 TAN Yonghai1 YAN Wei1 JU Changjun1 WANG Yijun1 SUN Wenxue1 JIANG Hongjiang1△
1Wendeng Osteopath & Rehabilitation Hospital of Shandong Privince,Weihai 264400,Shandong China.
关键词:
三维打印技术;  三维重建;  胫腓骨骨折;  临床应用
Keywords:
three dimension printing;  three-dimensional reconstruction;  fracture of tibia and fibular;  clinical application
分类号:
R683.42
文献标志码:
A
摘要:
目的:探讨术前三维(3D)打印技术在胫腓骨骨折手术中提高疗效的可行性。方法:自2017年1月至2018年12月入住本院并进行胫腓骨骨折手术治疗患者共124例,随机平分为对照组和观察组。对照组使用临床常规的治疗方法对患者进行手术,观察组则是使用3D打印技术对患者进行临床手术的治疗。记录两组患者的年龄、性别、受伤部位、手术时间、术中出血情况、术中透视次数、骨折复位情况、并发症发病率。结果:纳入本研究共124例患者,其中男86例,女38例; 年龄19～54岁; 患者随机平分为对照组和3D打印组。两组患者的年龄、性别、部位方面差异无统计学意义(P<0.05); 3D打印组术中出血量(103.4±10.25)mL优于对照组(142.5±15.76)mL,差异有统计学意义(t=58.474,P<0.001); 3D 打印组手术时间(62.7±8.94)min优于对照组(75.4±7.83)min,差异有统计学意义(t=42.875,P<0.001); 3D 打印组术中透视次数(1.63±0.33)次优于对照组(2.12±0.54)次,差异有统计学意义(t=25.786,P<0.001); 并发症发生率差异有统计学意义(P<0.05)。结论:个体化3D 打印技术可降低胫腓骨骨折手术时间、术中出血量、减少术中透视次数及并发症发生率,效果显著,值得临床推广应用。
Abstract:
Objective:To investigate the feasibility of preoperative 3D printing technique to improve the curative effect of tibial and fibular fractures.Methods:124 patients were admitted to our hospital from January 2017 to December 2018 for surgical treatment of tibia and fibular fractures,who were randomly divided into conventional clinical methods,and the observation group used 3D printing technology To perform clinical surgery on the patient.Age, sex,injury site,the time of operation,bleeding in operation,the number of intraoperative fluoroscopy,the reduction of fracture and the incidence of complications were recorded.Results:124 patients were included in the study,including 86 men and 38 women,aged 19 to 54.The patients were randomly divided into control group and 3D printing group.There was no significant difference in age,sex and location between the two groups(P<0.05).The bleeding volume(103.4±10.25)in the 3D printing group was better than that in the control group(142.5±15.76),and the difference was statistically significant compared with the control group(t=58.474,P<0.001); The surgical time(62.7±8.94)in the 3D printing group was better than that in the control group(75.4±7.83),and the difference was statistically significant compared with the control group(t=42.875,P<0.001); The number of perspectives(1.63±0.33)in the 3D printing group was better than that in the control group(2.12±0.54),and the difference was statistically significant compared to the control group(t=25.786,P<0.001).Conclusion:The individualized 3D printing technique can reduce the operation time,the bleeding situation,the number of intraoperative perspective and the incidence of complications of tibia and fibular fractures.The result is remarkable,and it is worthy of clinical application.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:国家中医药管理局2018年孙文学全国名老中医 药专家传承工作室建设项目△通信作者 E-mail:boneman@163.com
更新日期/Last Update: 2019-10-10