组配式半骨盆假体与3D打印定制半骨盆假体对骨盆肿瘤切除后重建骨盆的短期疗效对比  

Comparison of short-term therapeutic effects of combination semi pelvic prosthesis and 3D printed customized semi pelvic prosthesis on pelvic reconstruction after pelvic tumor resection

作　　者：肖渝 李文忠[1] 张漾杰[1] 陈剑[1] 付俊萍[1] 康建平 田昌平 肖砚斌[1] XIAO Yu;LI Wenzhong;ZHANG Yangjie;CHEN Jian;FU Junping;KANG Jianping;TIAN Changping;XIAO Yanbin(The Second Department of Orthopedics,Yunnan Cancer Hospital,Yunnan Kunming 650118,China)

机构地区：[1]云南省肿瘤医院骨外二科,云南昆明650118

出　　处：《现代肿瘤医学》2024年第18期3526-3531,共6页Journal of Modern Oncology

摘　　要：目的:评价组配式半骨盆假体与3D打印定制半骨盆假体对骨盆肿瘤切除后重建骨盆的短期安全性及疗效。方法:回顾分析2010年01月至2023年04月在我院骨外二科进行骨盆肿瘤切除并重建的患者病历资料,记录手术时间、术中失血量及出血量,随访观察术后感染、肿瘤病程等情况,影像学检查假体脱位、断裂等情况。术前术后通过VAS评分、MSTS评分及Harris评分评价患者症状及功能改善情况。结果:共纳入患者35例,其中男22例,女13例。原发骨盆恶性肿瘤16例,转移性骨盆恶性肿瘤17例,良性骨盆肿瘤2例。使用组配式半骨盆假体(组配组)23例,3D打印定制半骨盆假体(定制组)12例。组配组患者年龄(50.91±13.53)岁,手术时间(387.39±76.07)min,术中出血量(2578.26±1831.78)mL,术中输血量(10.52±8.20)U。23例患者均获得随访。3例患者发生术后感染,1例患者术后发生假体脱位,4例患者术后6个月内因肿瘤进展死亡。定制组患者年龄(42.58±19.22)岁,手术时间(333.75±66.92)min,术中出血量(1194.17±720.95)mL,术中输血量(4.54±2.97)U。12例患者均获得随访,2例患者发生术后假体脱位,2例患者术后6个月内因肿瘤进展死亡。结论:使用3D打印定制半骨盆假体进行骨盆肿瘤切除后重建较组配式半骨盆假体可明显缓解患者疼痛症状,在术后1年内功能恢复更好。但远期疗效有待进一步随访。Objective:To evaluate the short-term efficacy and safety of combination semi pelvic prosthesis and 3D printed customized semi pelvic prosthesis in reconstructing the pelvis after pelvic tumor resection.Methods:Review and analyze the medical records of patients who underwent pelvic tumor resection and reconstruction at the second department of orthopedics at our hospital from January 2010 to April 2023.Record the surgical time,intraoperative blood loss,and bleeding volume.Through follow-up,the postoperative infection,tumor development,and imaging examination of prosthesis dislocation,fracture,and other conditions were observed.Evaluate the patient's symptoms and functional improvement through VAS score,MSTS score,and Harris score before and after surgery.Results:A total of 35 patients were included,including 22 males and 13 females.There were 16 cases of primary pelvic malignant tumors,17 cases of metastatic pelvic malignant tumors,and 2 cases of benign pelvic tumors.23 cases were treated with combination semi pelvic implants(combination group)and 12 cases were treated with 3D printed customized semi pelvic implants(customization group).The age of patients in the combination group was(50.91±13.53)years old,the surgical time was(387.39±76.07)min,intraoperative blood loss was(2578.26±1831.78)mL,and intraoperative blood transfusion was(10.52±8.20)U.All 23 patients were followed up.3 patients developed postoperative infections,1 patient experienced prosthetic dislocation,and 4 patients died within 6 months after surgery due to tumor progression.The customization group of patients was(42.58±19.22)years old,the surgical time was(333.75±66.92)min,intraoperative blood loss was(1194.17±720.95)mL,and intraoperative blood transfusion was(4.54±2.97)U.All 12 patients were followed up,with 2 patients experiencing postoperative prosthesis dislocation and 2 patients dying within 6 months after surgery due to tumor progression.Conclusion:The use of 3D printed customized semi pelvic prostheses for reconstruction after pelvi

关 键 词：骨盆 骨肿瘤 3D打印 假体 重建 

分 类 号：R738.1[医药卫生—肿瘤]