计算机辅助技术在复杂骨盆骨折诊断与治疗中的应用  

Application of computer aided technology in diagnosis and treatment of complicated pelvic fracture

作　　者：涂强[1] 丁焕文[1] 曹露[1] 王虹[1] 沈健坚[1] 易灿[1] 徐国洲[1] 刘辉亮[1] 

机构地区：[1]广州军区广州总医院华侨科,广东广州510010

出　　处：《临床骨科杂志》2011年第2期204-207,共4页Journal of Clinical Orthopaedics

基　　金：国家自然科学基金面上项目(编号:30571897);广州市科技攻关项目(编号:2008Z1-D131);广东省教育部产学研结合项目(编号:2009B090300454);广东省医学科研基金项目(编号:A2010440)

摘　　要：目的评价计算机辅助技术在复杂骨盆骨折诊断与治疗中的应用价值。方法对6例复杂骨盆骨折患者行薄层CT扫描获取病变部位的二维数据,采用计算机辅助技术行骨盆骨折的三维重建解剖学模型,快速成型制作出与实体1∶1大小的骨盆模型。依此对骨盆骨折做出明确的诊断、分型,制定手术方案,术前模拟手术,指导手术治疗。结果术中所见与虚拟三维重建图像及快速成型骨盆模型非常相似,术前的模拟手术使手术时间明显缩短,减少了术中失血。6例患者均获得了良好的骨折复位。结论计算机辅助技术能全面、直观、精确地显示骨盆的立体形态和各部位解剖结构的空间关系,对于骨盆骨折的诊断、分型及治疗均有很强的临床指导作用,它使手术更精确、更可靠、更方便,它在复杂骨盆骨折的治疗中有着广阔应用前景。Objective To evaluate the value of computer aided technology in diagnosis and treatment of pelvic fracture.Methods Six patients of pelvic fracture were examined by lamellar CT to gain two-dimensional data of diseased region.Three-dimensional reconstructions of anatomical models were accomplished by computer aided technology.By rapid prototyping,the pelvic models were manufactured,by which diagnosis and typing of pelvic fracture were conclusive,operation project were formulated,preoperative sham operated were enforced and supervise the operation of pelvic fracture.Results Three-dimensional reconstruction images and RP pelvic models were extremely similar to that doctor can see in operation.Preoperative sham operation shortened the time of operation and reduced the volume of bleeding of operation.Pelvic fracture reductions were good in 6 cases.Conclusions Computer aided technology can overall,direct-viewing,exactly display three-dimensional shape of pelvic and spatial relation of anatomic structure.They have the important role of supervising clinic diagnosis,typing and treatment.Computer aided technology make operation which was excellent safer and more convenient.It has the broad application perspective in treatment of complicated pelvic fracture.

关 键 词：计算机辅助技术 骨盆骨骨折 

分 类 号：R683.3[医药卫生—骨科学] R687.3[医药卫生—外科学]