3D打印技术结合术前规划指导对治疗胫腓骨远端严重粉碎骨折的临床疗效观察  

Clinical Observation of 3D Printing Technology Combined with Preoperative Planning Guidance on the Treatment of Severe Comminuted Fractures of Distal Tibia and Fibula

作　　者：黄喆 张志强 张晓雪 夏贤生 唐荐 吴秋敏 高文强 Huang Zhe;Zhang Zhi-qiang;Zhang Xiao-xue;Xia Xian-sheng;Tang Jian;Wu Qiu-min;Gao Wen-qiang(Dongguan Eighth People's Hospital(Dongguan Children's Hospital)Dongguan 523000,Guangdong Province,China)

机构地区：[1]东莞市第八人民医院(东莞市儿童医院),广东东莞523000

出　　处：《罕少疾病杂志》2023年第6期71-72,76,共3页Journal of Rare and Uncommon Diseases

基　　金：东莞市社会科技发展(一般)项目(202050715028682)。

摘　　要：目的 探讨3D打印技术结合术前规划指导对治疗胫腓骨远端严重粉碎骨折的临床疗效。方法 选取2020年1月-2022年9月医院收治的51例胫腓骨远端严重粉碎骨折患者为研究对象,以随机数字表法分观察组22例、对照组29例。用“χ±s”表示计量资料,t检验,用“n%”描述计数资料,用检验。对照组常规术前准备及切开复位内固定手术,观察组在对照组的基础上采用3D打印技术作术前规划指导。对比两组手术时间、失血量、切口长度、住院天数及视觉模拟评分法(VAS)疼痛评分、骨折复位效果以及骨折愈合率。结果 两组手术时间、失血量、切口长度、住院天数对比差异均有统计学意义(P<0.05),观察组手术时间、住院天数短于对照组,失血量、切口长度小于对照组(t=8.605,P=0.000,t=7.272,P=0.000)。两组患者治疗后VAS均降低,观察组患者低于对照组(t=9.042,P=0.000)。两组骨折固定复位效果比较有统计学意义(P<0.05),观察组优良率高于对照组(t=4.483,P=0.034)。两组骨折愈合率对比有统计学意义(P<0.05),观察组骨折愈合率高于对照组(t=4.483,P=0.034)。结论 在胫腓骨远端严重粉碎骨折中应用3D打印技术结合术前规划指导,可缩短手术及住院时间,减少手术创伤及术中出血量,可获得较满意手术复位效果,有利于促进骨折愈合,值得推广。Objective To investigate the clinical effect of 3D printing technology combined with preoperative planning for the treatment of severe comminuted distal tibiafibula fracture.Methods A total of 51 patients with severe comminuted fractures of distal tibia and fibula admitted to the hospital from January 2020 to September 2022 were selected as the research objects.They were divided into observation group(22 cases)and control group(29 cases)by random number table method.Use"χ-±s"to represent the measurement data,t test,use"n%"to describe the counting data,use test.The control group underwent routine preoperative preparation and open reduction and internal fixation,and the observation group was guided by 3D printing technology on the basis of the control group.Operation time,blood loss,incision length,length of hospital stay,visual analog scale(VAS)pain score,fracture reduction effect and fracture healing rate were compared between the two groups.Results There were statistically significant differences in operation time,blood loss,incision length and hospital stay between the two groups(P<0.05).The operation time and hospital stay of the observation group were shorter than those of the control group,while the blood loss and incision length of the observation group were shorter than those of the control group(t=8.605,P=0.000,t=7.272,P=0.000).VAS was decreased in both groups after treatment,and observation group was lower than control group(t=9.042,P=0.000).The effect of fracture fixation and reduction between the two groups was statistically significant(P<0.05),and the excellent and good rate in the observation group was higher than that in the control group(t=4.483,P=0.034).The fracture healing rate of the two groups was statistically significant(P<0.05),and the fracture healing rate of the observation group was higher than that of the control group(t=4.483,P=0.034).Conclusion The application of 3D printing technology combined with preoperative planning guidance in severe comminuted distal tibia-fibula fractures can

关 键 词：胫腓骨远端严重粉碎骨折 手术时间 切口长度 住院天数 3D打印技术结合术前规划指导 

分 类 号：R274.12[医药卫生—中医骨伤科学]