3D打印个性化钛板用于陈旧性颧眶复合体骨折治疗效果评价  

Application of 3D printing individualized titanium plate in plastic surgery of long-standing zygomatic orbital complex fracture

作　　者：吕继连 赵媛 郑永红 林楠 裴飞 叶克强 张瑞 LYU Ji-lian;ZHAO Yuan;ZHENG Yong-hong;LIN Nan;PEI Fei;YE Ke-qiang;ZHANG Rui(Department of Oral and Maxllofacial Surgery,Zhengzhou Central Hospital Affiliated to Zhengzhou University.Zhengzhou 450007,Henan Province,China)

机构地区：[1]郑州大学附属郑州中心医院口腔颌面外科,河南郑州450007

出　　处：《中国口腔颌面外科杂志》2022年第6期577-580,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:初步探索3D打印个性化钛板辅助外科设计及精准复位技术用于陈旧性颧眶复合体骨折治疗的效果。方法:选择2018年5月—2022年4月就诊于郑州大学附属郑州中心医院的单侧陈旧性颧眶复合体骨折患者25例,随机分为试验组与对照组,试验组13例患者依照整形外科标准,采用虚拟外科技术进行骨折块分割、虚拟复位、3D打印个性化钛板精准手术治疗。对照组12例患者实施传统骨折手术,分别记录2组患者术中出血总量及手术耗时,术后手术切口有无瘢痕、面瘫、复视以及双侧颧面部对称性。采用SPSS 20.0软件包对数据进行统计学分析。结果:试验组和对照组手术时间分别为(102.21±9.21)和(138.30±11.45)min,术中出血量分别为(60.56±4.88)和(95.38±5.21)mL,术后2组并发症发生率分别为7.69%和33.33%,均有显著差异(P<0.05)。结论:按照整形外科手术原则,运用3D打印个性化钛板,能精确定位单侧陈旧性颧眶复合体骨折,提高手术精度和美容效果,降低术后并发症。PURPOSE:To explore the restoration effect of 3D printing personalized titanium plate in assisted surgical design and precise reduction of long-standing zygomatic orbital complex fracture.METHODS:From May 2018 to April2022,25 patients with unilateral old zygomatic orbital complex fracture were randomly divided into two groups.Thirteen patients in the experimental group were treated with virtual surgery by fracture block segmentation,virtual repositioning and 3D printing personalized titanium plate for precise operation.Twelve patients in the control group were treated as traditional surgery method.The total amount of bleeding and operation time,postoperative incision scar,facial paraly-sis,diplopia and bilateral zygomatic-facial symmetry were recorded and compared with SPSS 20.0 software package.RESULTS:The total operation time of the experimental group and the control group were(102.21±9.21)and(138.30±11.45)min;the intraoperative bleeding volume were(60.56±4.88)and(95.38±5.21)mL;the total postoperative complications were 7.69%and 33.33%,respectively.There were significant differences in the above indexes between the two groups(P<0.05).CONCLUSIONS:According to the principle of plastic surgery,3D printing individualized titanium plate can accurately reduce unilateral long-standing zygomatic orbital complex fracture,bilateral facial symmetry,improve the surgical accuracy and cosmetic effect,reduce postoperative complications.

关 键 词：3D打印钛板 陈旧性骨折 颧眶复合体骨折 

分 类 号：R782[医药卫生—口腔医学]