MR+3D快速打印夹板辅助黄氏正骨手法整复前臂双骨折的疗效研究  

Outcome of Huang's orthopedic manipulation assisted by mixed reality modeling and rapid 3D-printed splint fixation in both-bone forearm fractures

作　　者：霍力为 万磊 叶永亮 王广伟 许宜栋 贺华勇 黄崇博 Huo Liwei;Wan Lei;Ye Yongliang;Wang Guangwei;Xu Yidong;He Huayong;Huang Chongbo(Guangzhou Orthopedics Hospital,Guangzhou 510045,China)

机构地区：[1]广州市正骨医院,广东广州510045

出　　处：《广州医科大学学报》2021年第5期44-47,共4页Academic Journal of Guangzhou Medical University

基　　金：2018广东省中医药局面上项目(20181209);2018广东省卫生计生委面上项目(A2018375);2017广州市越秀区教育卫生专项项目(2017-WS-001)。

摘　　要：目的:观察MR+3D快速打印夹板辅助黄氏正骨手法整复前臂双骨折的临床效果。方法:将2018年12月至2020年1月广州市正骨医院收治的15例前臂双骨折患者随机分为两组,研究组(6例)采用MR混合现实建模,黄氏正骨手法整复前臂双骨折,3D快速打印个性化夹板固定治疗;常规组(9例)采用常规手法治疗。结果:研究组和常规组Anderson评分优秀率分别为83.3%和77.7%。研究组和常规组VAS评分分别为(1.35±0.65)分和(2.16±1.04)分,两组比较,差异有统计学意义(P<0.05)。结论:MR+3D快速打印夹板辅助黄氏正骨手法可明显减轻前臂双骨折患者疼痛,提高临床疗效。Objective:To investigate the clinical outcome of Huang's orthopedic manipulation assisted by mixed reality(MR)modeling and rapid 3D-printed splint fixation in both-bone forearm fractures.Methods:Fifteen patients with both-bone forearm fractures admitted to Guangzhou Orthopedics Hospital between December 2019 and January 2020 were randomly divided into two groups.The study group(n=6)underwent MR model,bone-setting by Huang's orthopedic manipulation for the both-bone forearm fractures,and external fixation with rapid 3D printed customized splint.The conventional group(n=9)were treated with conventional manipulation.Results:The rate of excellent outcome according to Anderson et al in the study group and the conventional group were 83.3% and 77.7%,respectively.The VAS scores in the study group and the conventional group were(1.35±0.65)and(2.16±1.04),respectively,with significant difference between the two groups(P<0.05).Conclusion:Huang's orthopedic manipulation assisted by mixed reality modeling and rapid 3D-printed splint fixation may remarkably relieve pain and improve the clinical outcome in patients with both-bone forearm fractures.

关 键 词：前臂双骨折 黄氏正骨手法 MR 3D打印 

分 类 号：R683.41[医药卫生—骨科学]