3D打印个体化导航模板引导S2AI螺钉固定在退变性脊柱侧凸中的应用  

Use of 3D Printed Individualized Navigation Template Guided S2AI Screw Fixation in Degenerative Scoliosis

作　　者：陈宣煌[1] 蔡涵华[1] 高小强[1] CHEN Xuanhuang;CAI Hanhua;GAO Xiaoqiang(Affiliated Hospital of Putian University,Putian 351100,China;不详)

机构地区：[1]莆田学院附属医院,福建莆田351100

出　　处：《中外医学研究》2021年第29期12-15,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建省自然科学基金(2020J011256);福建省临床重点专科建设项目(2018145);福建省莆田市科技局科研创新专项项目(2019SZP03)。

摘　　要：目的:研究3D打印个体化导航模板引导S2AI螺钉固定在退变性脊柱侧凸中的应用价值。方法:数字随机法抽取2019年2月-2021年1月本院收治的60例退变性脊柱侧凸患者,根据不同治疗方法划分为研究组(给予3D打印个体化导航模板引导S2AI螺钉固定,共31例)、对照组(给予传统椎弓根螺钉联合卫星棒固定治疗,共29例),对比两组治疗效果。结果:研究组平均出血量、手术操作的时间、平均住院天数优于对照组,差异有统计学意义(P<0.05);两组术后7 d侧凸Cobb角、C7PL-CSVL、SVA、PK Cobb角、骨盆倾斜角较术前明显下降(P<0.05),且研究组各影像学指标优于对照组(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:3D打印个体化导航模板引导S2AI螺钉固定在退变性脊柱侧凸患者中的应用效果显著,值得推广。Objective:To investigate the use of 3D printed individualized navigation template guided S2AI screw fixation in degenerative scoliosis.Method:Sixty patients with degenerative scoliosis admitted to our hospital from February 2019 to January 2021 were randomly selected by digital method.According to different treatment methods,they were divided into study group(31 patients were treated with S2AI screw fixation guided by 3D printing personalized navigation template)and control group(29 patients were treated with traditional pedicle screw fixation combined with satellite rod fixation).The therapeutic effects of the two groups were compared.Result:The mean blood loss,time to surgical procedures,mean days of hospitalization in the study group were better than those in the control group(P<0.05).The 7 d postoperative scoliosis Cobb angle,C7PL-CSVL,SVA,PK Cobb’s angle and pelvic tilt angle in two groups were significantly decreased than those before operation(P<0.05),and each radiographic indicator of the study group was better than that of the control group(P<0.05).The complication rate of the study group was lower than that of the control group(P<0.05).Conclusion:The application of 3D printed individualized navigation template guided S2AI screw fixation in degenerative scoliosis is significant and worthy of promotion.

关 键 词：3D打印个体化导航模板 引导 S2AI螺钉 固定 退变性脊柱侧凸 

分 类 号：R687.3[医药卫生—骨科学]