个体化设计配合3D打印在腕舟骨骨折内固定手术中的效果  

The effect of individualized design and 3D printing in internal fixation of wrist scaphoid fracture

作　　者：何雨生[1] 陈良荣[2] 刘俊 陈耀武 李承杰 陈贝 王新平[1] 刘小仁 曾冬莲 He Yusheng;Chen Liangrong;Liu Jun;Chen Yaowu;Li Chengjie;Chen Bei;Wang Xinping;Liu Xiaoren;Zeng Donglian(Department of Microscopy,the First People's Hospital of Chenzhou City,Chenzhou,Hunan 423000;Outpatient Clinic of Affiliated Hospital of Xiangnan University Chenzhou,Hunan 423000)

机构地区：[1]郴州市第一人民医院显微镜外科,湖南郴州423000 [2]湘南学院附属医院门诊,湖南郴州423000

出　　处：《现代科学仪器》2022年第2期212-216,共5页Modern Scientific Instruments

基　　金：郴州市科学技术局支持项目:ZDYF2020093。

摘　　要：目的:探讨个体化设计配合3D打印在腕舟骨骨折内固定手术中的效果。方法:选取112例腕舟骨骨折患者,随机分组,各56例。比较两组术后恢复情况、并发症发生率、手术前后创伤指标血清水平、腕关节活动度及功能优良率。结果:观察组术中失血量少于对照组,手术时间、骨折愈合时间、恢复工作时间短于对照组,术后12 h、24 h、48 h创伤指标血清水平低于对照组,术后3个月腕关节活动度高于对照组,功能优良率高于对照组,并发症发生率低于对照组(P<0.05)。结论:个体化设计配合3D打印技术的内固定手术治疗腕舟骨骨折效果显著。Objective:The effect of individualized design and 3D printing in internal fixation of carpal navicular fractures Methods:A total of 112 patients with carpal navicular fracture were selected and randomly divided into groups,56 cases in each group.The control group received open reduction and internal fixation,while the observation group received percutaneous cannulated screw internal fixation with individualized design combined with 3D printing technology.The operation and postoperative recovery,the incidence of complications,the serum levels of trauma indexes before and after operation,the range of motion of the wrist and the excellent and good rate of function were compared between the two groups.Results:The intraoperative blood loss in the observation group was less than that in the control group,and the operation time,fracture healing time,and return to work time were shorter than those in the control group.The range of motion of the wrist joint was higher than that of the control group,the rate of excellent and good function was higher than that of the control group,and the incidence of complications was lower than that of the control group(P<0.05).Conclusion:Individualized design combined with 3D printing technology has a significant effect on the treatment of carpal navicular fractures with internal fixation.

关 键 词：个体化设计 3D打印技术 内固定手术 腕舟骨骨折 骨折愈合周期 腕关节活动度 手术创伤 

分 类 号：R68[医药卫生—骨科学]