3D打印技术在股骨粗隆间骨折手术中的应用  

Application of 3D Printing Technology in the Operation of Intertrochanteric Fracture

作　　者：梁周 黄政 杨德炎[1] 何忠[1] 陆兰兰 罗善超[1] 吕广桂 LIANG Zhou;HUANG Zheng;YANG De-yan;HE Zhong;LU Lan-lan;LUO Shan-chao;LYU Guang-gui(Department of Orthopaedics,Subject One,Yulin City Integrated Traditional Chinese and Western Medicine Orthopedic Hospital,Yulin 537000,Guangxi,China;Yulin Health School,Yulin 537000,Guangxi,China)

机构地区：[1]玉林市中西医结合骨科医院正骨一科,广西玉林537000 [2]玉林市卫生学校,广西玉林537000

出　　处：《医学信息》2019年第19期68-70,共3页Journal of Medical Information

基　　金：广西科技重大专项项目(编号:桂科AA17292010);玉林市科学研究与技术开发计划项目(编号:玉市科攻20173039,玉市科攻20173040)

摘　　要：目的探讨3D打印技术在手术治疗股骨粗隆间骨折中的临床价值。方法回顾性分析2017年2月~2019年2月于我院就诊的股骨粗隆间骨折患者58例,随机分为传统组和3D组,各29例。两组均实施切开复位锁定钢板内固定术,传统组采用传统影像学资料辅助完成手术,3D组应用3D打印技术辅助完成手术。比较两组术中透视次数、手术时间、术中出血量及患者术后Harris评分。结果所有患者均顺利完成手术,3D组手术时间、术中透视次数、术中出血量均少于传统组,差异统计学意义显著(P<0.01);两组Harris评分比较,差异统计学意义不显著(P>0.01)。结论3D打印技术有利于优化手术过程,能有效缩短手术时间、减少透视次数、减少出血量,降低了手术风险,临床效果满意。Objective To investigate the clinical value of 3D printing technique in the surgical treatment of intertrochanteric fractures.Methods A retrospective analysis of 58 patients with femoral intertrochanteric fractures who were treated in our hospital from February 2017 to February 2019 was randomly divided into the traditional group and the 3D group,29 cases in each group.Both groups were treated with open reduction and locking plate fixation.The traditional group used traditional imaging data to assist the operation.The 3D group used 3D printing technology to assist the operation.The number of intraoperative fluoroscopy,operative time,intraoperative blood loss and Harris score were compared between the two groups.Results All patients underwent successful operation.The operation time,intraoperative fluoroscopy and intraoperative blood loss were lower in the 3D group than in the traditional group,the difference was statistically significant(P<0.01).There was no significant difference in Harris score between the two groups(P>0.01).Conclusion 3D printing technology is beneficial to optimize the surgical procedure,which can effectively shorten the operation time,reduce the number of fluoroscopy,reduce the amount of bleeding,reduce the risk of surgery,and satisfy the clinical results.

关 键 词：股骨粗隆间骨折 内固定术 3D打印 

分 类 号：R687.3[医药卫生—骨科学]