计算机辅助技术联合3D打印模板在脊柱畸形矫正手术中的应用研究  

The research of computer aided design and 3D printing in spinal deformity surgery

作　　者：王虹[1] 丁焕文[1] 刘宝 黄敏强[1] 沈健坚[1] 

机构地区：[1]广州军区广州总医院华侨三区,广州510010 [2]广东省中山火炬开发区医院,广东中山528437

出　　处：《中国临床解剖学杂志》2016年第4期392-396,共5页Chinese Journal of Clinical Anatomy

基　　金：广东省医学科研基金(A2016215)

摘　　要：目的探讨计算机辅助技术在脊柱畸形手术中的应用价值。方法计算机辅助手术组：选择我科自2009年1月起至2011年6月32例脊柱畸形患者,通过计算机辅助技术结合3D打印完成手术,术后随访12-60个月。对照组：对照我科同期27例常规手术治疗的脊柱畸形患者,通过对二组的各项指标进行对比并行统计学分析,论证计算机辅助技术的优越性。结果计算机辅助手术组与对照组相比,手术时间、术中出血量、置钉成功率、术中X线照射次数、Cobb角纠正率均较对照组改善,对比均有统计学意义（P〈0.05）。结论计算机辅助技术能显著提高脊柱畸形外科手术的准确度及安全性,缩短手术时间。Objective To investigate the value of computer aided design（CAD） in spinal deformity surgery. Method CAD operation group：32 patients with scoliosis, kyphosis, and spine hemivertebrae were enrolled from January, 2009 to July, 2011, underwent surgery with the help of computer aided design combined with 3D printing, and followed up for 12 months to 60 months. Control group：at the same period,27 cases with scoliosis were cured by the conventional surgical methods with the surgery performed by the same doctors.The patients were also followed up. Surgical duration and other indicators were compared between the same groups by statistical analysis to demonstrate the superiority of the CAD. Result Compared with the CAD group, the surgical operation, amount of bleeding, accuracy of the screw placement,exposure time of X- ray, rectified rate of cobb angle has significant difference（P〈0.05）. Conclusion Surgical correction of scoliosis and kyphosis with the help of CAD can increase the accuracy and security of these operations and reduce the surgical duration.

关 键 词：计算机辅助技术 外科手术 脊柱畸形 矫形手术 

分 类 号：R687[医药卫生—骨科学]