[1]王强,冷燕奎△,翟波,等.3D打印穿刺导板联合自体髂骨植骨治疗距骨囊肿33例[J].中国中医骨伤科杂志,2026,34(03):96-100.[doi:10.20085/j.cnki.issn1005-0205.260315]
　WANG Qiang,LENG Yankui,ZHAI Bo,et al.Combined Use of A 3D-Printed Puncture Guide and Autologous Iliac Bone Graft for Talar Cyst Treatment:A Series of 33 Cases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(03):96-100.[doi:10.20085/j.cnki.issn1005-0205.260315]
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3D打印穿刺导板联合自体髂骨植骨治疗距骨囊肿33例()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年03期
页码:
96-100
栏目:
临床研究
出版日期:
2026-03-15

文章信息/Info

Title:
Combined Use of A 3D-Printed Puncture Guide and Autologous Iliac Bone Graft for Talar Cyst Treatment:A Series of 33 Cases
文章编号:
1005-0205(2026)03-0096-05
作者:
王强1; 冷燕奎1△; 翟波1; 张忠良1; 徐佳毅1
1浙江中医药大学附属金华中医院(浙江 金华,321017)
Author(s):
WANG Qiang1; LENG Yankui1△; ZHAI Bo1; ZHANG Zhongliang1; XU Jiayi1
1Jinhua Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University,Jinhua 321017,Zhejiang China.
关键词:
3D打印;  穿刺导板;  自体髂骨植骨;  距骨囊肿
Keywords:
3D printing;  puncture guide template;  autologous iliac bone graft;  talar cyst
分类号:
R681.8
DOI:
10.20085/j.cnki.issn1005-0205.260315
文献标志码:
A
摘要:
目的:探讨 3D 打印穿刺导板联合自体髂骨植骨治疗距骨囊肿的临床疗效。方法:回顾性分析2020年12月至2024年8月采用3D打印穿刺导板联合自体髂骨植骨治疗的33例距骨囊肿患者的有关临床资料,评估其术前及术后1个月、12个月视觉模拟量表(VAS)评分、美国足踝外科协会(AOFAS)评分。结果:患者均获 12～15 个月定期随访,平均(13.7±0.6)个月,患者术口愈合良好、无感染。VAS评分:术前为(5.15±0.79)分,术后1个月为(1.48±0.46)分,术后12个月为(1.41±0.36)分; 术后1个月较术前改善,差异有统计学意义(t=21.988,P<0.05); 术后12个月与术前比改善,差异有统计学意义(t=23.595,P<0.05); 术后12个月较术后1个月VAS评分差异无统计学意义(t=0.656,P>0.05)。AOFAS评分:术前为(43.79±2.15)分,术后1个月为(75.62±8.69)分,术后12个月为(87.42±7.61)分; 术后1个月较术前改善,差异有统计学意义(t=19.475,P<0.05); 术后12个月较术前改善,差异有统计学意义(t=30.219,P<0.05); 术后12个月较术后1个月AOFAS评分改善,差异有统计学意义(t=5.595,P<0.05)。结论:通过3D打印穿刺导板联合自体髂骨植骨治疗距骨囊肿,相比开放手术更加微创,术后恢复时间短,是治疗距骨囊肿的一种良好的选择。
Abstract:
Objective:Evaluating the clinical efficacy of combined 3D-printed puncture guide and autologous iliac bone grafting in talar cyst treatment.Methods:A retrospective analysis was conducted on the clinical data of 33 patients with talar cysts treated using 3D-printed puncture guide templates combined with autologous iliac bone graft between December 2020 and August 2024.The visual analogue scale(VAS)score and the American orthopedic foot and ankle society(AOFAS)score were assessed preoperatively and at 1 and 12 months postoperatively.Results:All patients were followed up regularly for 1215 months,with a mean follow-up period of(13.7±0.6)months.Incisions healed well with no infections.VAS scores:preoperative(5.15±0.79)points,1 month postoperative(1.48±0.46)points,and 12 months postoperative(1.41±0.36)points.Significant improvement was observed at 1 month compared to preoperative levels(t=21.988,P<0.05),and at 12 months compared to preoperative levels(t=23.595,P<0.05).However,there was no significant difference in VAS scores between 12 months and 1 month postoperatively(t=0.656,P>0.05).AOFAS scores:preoperative(43.79±2.15)points,1 month postoperative(75.62±8.69)points,and 12 months postoperative(87.42±7.61)points.Significant improvement was observed at 1 month compared to preoperative levels(t=19.475,P<0.05),at 12 months compared to preoperative levels(t=30.219,P<0.05),and at 12 months compared to 1 month postoperatively(t=5.595,P<0.05).Conclusion:Compared to open surgery,the treatment of talar cysts using a 3D-printed puncture guide combined with autologous iliac bone grafting demonstrates greater minimal invasiveness,shorter postoperative recovery time,and represents a viable alternative approach.

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(收稿日期:2025-08-19)

备注/Memo

备注/Memo:
△通信作者 E-mail:809405733@qq.com
更新日期/Last Update: 2026-03-15