计算机仿真技术在桡骨远端骨折掌侧锁定钢板放置定位的作用研究  

The Computer Simulation Technology in the Research of Fracture of the Distal Radius Volar Locking Plates Positioned Side

作　　者：詹祖锋[1] 刘晓霞[2] 胡军[1] 刘有余[1] 

机构地区：[1]湖北医药学院附属太和医院骨二科 [2]湖北医药学院附属太和医院手术室

出　　处：《中国数字医学》2015年第6期51-53,共3页China Digital Medicine

摘　　要：目的:观察探讨计算机仿真技术在桡骨远端骨折掌侧锁定钢板的放置定位的作用。方法:选取医院2013年2月-2014年7月收纳的98例桡骨远端骨折患者,按随机分配原则分为观察组和对照组,各49例。观察组桡骨远端骨折患者,应用计算机仿真技术MIMICS软件建模,测量桡骨和掌侧钢板定位,关节面边缘与掌侧钢板螺孔中心之间最佳长度,计算掌侧锁定钢板的放置定位的标准差及均值。对照组桡骨远端骨折患者,应用传统常规X射线及CT阅片计算桡骨和掌侧钢板定位。结果:两组桡骨远端骨折患者手术情况对比,观察组透视次数、手术时间均低于对照组,有明显差异,具有统计学意义(P<0.05)。结论:计算机仿真技术在桡骨远端骨折掌侧锁定钢板的放置定位的效果显著,较常规X片检查确定等方法更为精确合适计算桡骨远端骨折关节面边缘与螺孔中心之间的最佳距离,提高骨折固定的稳定性和适应性,减少治疗后透析后检查次数及时间。其临床选择优势较高,无严重不良反应,值得临床上进一步推广应用。Objective： To observe the effect of computer simulation technology in the research of fracture of the distal radius volar locking plates positioned side. Methods：in our hospital from 2013 February-2014 year in July received 98 cases of distal radius fracture patients, randomly divided into observation group and control group, with 49 cases in each group, were observed in patients with fracture of the distal radius, the application of computer simulation technology MIMICS software modeling, measurement of radial and palmar plate location, edge of articular surface and power. The lateral plate screw center optimal length, calculation of positioning of volar locking plates and the standard deviation of the mean. The control group of patients with fracture of the distal radius, using conventional X-ray and CT to calculate the radius and volar plate positioning. Results： compared with two groups of patients with operation of distal radius fractures, fluoroscopy times in observation group, operation time were lower than the control group, there was significant difference, with statistical significance （P〈0.05）. Conclusion：the technique of computer simulation in the fracture of the distal radius positioning of volar locking plates the effect significantly, compared with the conventional X examination to determine the best method for accurate calculation of the distance between the fracture of the distal radius articular surface and the edge of the hole center, improve the stability of fracture fixation and adaptability, reduce the number of inspection and treatment after dialysis. The clinical advantages of higher, no serious adverse reactions, it is worthy of popularization and application.

关 键 词：计算机仿真技术 桡骨远端骨折 掌侧锁定钢板 放置定位 作用研究 

分 类 号：R683[医药卫生—骨科学] TP391.9[医药卫生—外科学]