3D技术辅助手术治疗不稳定骨盆骨折的疗效分析  

Analysis of the Efficacy of 3D Technology-Assisted Surgical Treatment for Unstable Pelvic Fractures

作　　者：宋健[1] 王培勇 李怀任 房好林[1] SONG Jian;WANG Peiyong;FANG Haolin(Jining First People's Hospital,Shandong Jining 272000,China)

机构地区：[1]山东省济宁市第一人民医院急诊创伤外科,山东济宁272000

出　　处：《河北医学》2024年第5期820-824,共5页Hebei Medicine

基　　金：山东省医药卫生科技发展计划项目,(编号:202204070583)。

摘　　要：目的:分析3D技术辅助手术治疗不稳定型骨盆骨折的疗效。方法:选择2020年3月至2022年9月就诊于我院的骨盆骨折患者80例,符合Tile分型中的B型、C型不稳定骨折。以随机数字表法作为分组方式将患者分为观察组(n=40)与对照组(n=40)。对照组采取传统手术方式,观察组应用3D技术辅助手术。比较两组围手术期相关指标,术后6个月骨盆功能,统计两组术后6个月内并发症发生情况。结果:观察组术中出血量与对照组相较更低,手术与拆线时间分别与对照组相较更短,手术费用较对照组高(t=-3.967、-2.194、-2.134、-2.301,P<0.05);术后1周,观察组骨折复位总满意度为95.00%,高于对照组的80.00%(χ^(2)=4.114,P<0.05);观察组术后6个月骨盆功能优良率为87.50%,高于对照组的67.50%(χ^(2)=4.588,P<0.05);观察组术后6个月并发症总发生率(7.50%)与对照组(10.00%)的差异无统计学意义(χ^(2)=0.157,P>0.05)。结论:3D技术辅助手术治疗骨盆骨折,可以缩短手术时间,减少出血量,减少术后拆线时间,提高骨折复位的优良率和骨盆功能,疗效突出。Objective:To analyze the effectiveness of three-dimensional(3D)technology-assisted surgery in the treatment of unstable pelvic fractures.Methods:Eighty patients with pelvic fractures treated in our hospital from March 2020 to September 2022 were selected.All patients met the criteria for Tile B and C unstable fractures.Patients were randomly divided into an observation group(n=40)and a control group(n=40)using a random number table.The control group was treated with traditional surgery,and the observation group was treated with 3D technology-assisted surgery.The two groups were compared in terms of peri-operative related indicators,pelvic function 6 months after surgery,and the incidence of complications within 6 months after surgery.Results:The observation group had lower intraoperative bleeding compared to the control group,shorter surgical and suture removal times compared to the control group,and the surgical cost is higher than that of the control group(t=-3.967、-2.194、-2.134、-2.301,P<0.05).Within one week after surgery,imaging in the observation group showed a total satisfaction rate of 95.00%with fracture reduction,which was higher than 80.00%in the control group(χ^(2)=4.114,P<0.05).The excellent and good rate of pelvic function in the observation group at 6 months after surgery was 87.50%,higher than the 67.50%in the control group(χ^(2)=4.588,P<0.05).There was no statistically significant difference in the total incidence of complications 6 months after surgery between the observation group(7.50%)and the control group(10.00%)(χ^(2)=0.157,P>0.05).Conclusion:3D technology-assisted surgical treatment for pelvic fractures can shorten the operation time,reduce blood loss,reduce the time for postoperative suture removal,improve the excellent rate of fracture reduction and pelvic function,and achieve remarkable efficacy.

关 键 词：骨盆骨折 3D技术辅助 不稳定型 疗效 

分 类 号：R687.3[医药卫生—骨科学]