多层螺旋CT三维重建辅助3D打印技术对复杂髋臼骨折手术应用的可行性研究  

Feasibility Study of Multi Slice Spiral CT 3D Reconstruction Assisted 3D Printing Technology in the Operation of Complex Acetabular Fracture

作　　者：刘居上 李楠馨 李慧芳[1] LIU Ju-shang;LI Nan-xin;LI Hui-fang(Department of The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan Province,China)

机构地区：[1]河南科技大学第一附属医院影像中心,河南洛阳471000

出　　处：《罕少疾病杂志》2023年第8期78-79,92,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的对多螺旋CT三维重建辅助3D打印技术在复杂髋臼骨折临床治疗中的应用成效进行分析与探究。方法对2020.3-2021.3月期间收治的100例复杂髋臼骨折患者的临床资料进行回顾性分析,根据治疗方法上的差异将其分为MSCT组与常规组,MSCT组实施术前计划MSCT三维重建辅助3D打印技术指导,而常规组则接受传统术前计划指导,对两组手术指标情况进行对比与记录;统计观察两组患者术后出现不良事件的发生概率;观察分析两组术后3个月、6个月的Maieed骨盆量化评分、Harris髋关节评分。结果经对比,MSCT组术中出血量、手术治疗时间、术中透析时间、骨折愈合时间等均短于常规组(P<0.05);MSCT组与常规组出现不良事件概率无明显统计学差异(P>0.05);经对比,术后3个月MSCT组Maieed骨盆量化评分、Harris髋关节评分均高于常规组(P<0.05),而术后6个月两组两项评分无明显统计学差异(P>0.05)。结论多层螺旋CT三维重建辅助3D打印技术在复杂髋臼骨折临床治疗中具有有效的指导作用,可有效减少患者群体术中的出血量,有利于加速患者骨折端的愈合,更能恢复患者的关节功能。Objective To analyze and explore the application of multi spiral CT Iterative reconstruction assisted 3D printing technology in the clinical treatment of complex acetabular fractures.Methods The clinical data of 100 patients with complex acetabular fractures admitted from March 2023 to March 2021.3 were retrospectively analyzed.According to the differences in treatment methods,they were divided into MSCT group and conventional group.The MSCT group implemented preoperative planning MSCT Iterative reconstruction assisted 3D printing technology guidance,while the conventional group received traditional preoperative planning guidance,and the surgical indicators of the two groups were compared and recorded;Statistically observe the probability of adverse events occurring after surgery in two groups of patients;Observe and analyze the Maieed pelvic quantification score and Harris hip joint score of the two groups at 3 and 6 months after surgery.Results showed that the intraoperative bleeding volume,surgical treatment time,intraoperative dialysis time,and fracture healing time in the MSCT group were all shorter than those in the conventional group(P<0.05);There was no significant statistical difference in the probability of adverse events between the MSCT group and the conventional group(P>0.05);After comparison,the Maieed pelvic quantification score and Harris hip joint score in the MSCT group were higher than those in the conventional group at 3 months after surgery(P<0.05),while there was no significant statistical difference between the two groups at 6 months after surgery(P>0.05).Conclusion The multi-slice spiral CT Iterative reconstruction assisted 3D printing technology has an effective guiding role in the clinical treatment of complex acetabular fractures,which can effectively reduce the amount of bleeding in the group of patients during surgery,help to accelerate the healing of patients with fracture ends,and more can restore the joint function of patients.

关 键 词：多层螺旋CT 三维重建 辅助3D 打印技术 复杂性 髋臼骨折 手术治疗 

分 类 号：R445[医药卫生—影像医学与核医学]