3D打印技术在四肢近关节骨折治疗中的应用效果分析(1)
【摘要】 目的：探讨3D打印技术在四肢近关节骨折中的治疗效果。方法：选择2016年1月-2018年6月笔者所在医院收治的61例四肢近关节骨折患者作为研究对象，分为研究组(31例)与对照组(30例)，对照组采用常规手术治疗，研究组采用3D打印技术辅助手术，比较两组疗效、临床相关指标、愈合时间及关节功能。结果：研究组手术时间(58.61±16.33)min、愈合时间(9.62±2.13)个月，均优于对照组(P<0.05);研究组出血量(101.66±23.57)ml，少于对照组(P<0.05);研究组术后HSS评分(98.88±1.17)分、临床优良率96.77%，均高于对照组(P<0.05)。结论：3D打印技术在四肢近关节骨折中的治疗效果显著，有利于减少出血量，缩短手术及愈合时间，提升临床疗效。
【关键词】 3D打印技术 四肢近关节骨折 临床效果 关节功能
doi：10.14033/j.cnki.cfmr.2020.10.055 文献标识码 B 文章编号 1674-6805(2020)10-0-03
The effect of 3D Printing on the Treatment of Proximal Joint Fractures of Limbs/AI Chao， LI Yingxian. //Chinese and Foreign Medical Research， 2020， 18(10)： -133
[Abstract] Objective： To investigate the effect of 3D printing technology on the proximal joint fractures of the extremities. Method： From January 2016 to June 2018， 61 patients with proximal joint fractures in our limbs were selected as the research objects，and they were divided into study group (31 cases) and control group (30 cases). The control group was treated with conventional surgery. The study group used 3D printing technology to assist the surgery. And compared the effects， clinical indicators， healing time and joint function between the two groups. Result： The operation time (58.61±16.33) min and healing time (9.62±2.13) months in the study group were better than those in the control group (P<0.05). The blood loss in the study group was (101.66±23.57) ml， less than that of the control group (P<0.05). The HSS score after operation was (98.88±1.17) points and clinical efficacy was 96.77% of the study group， which were higher than those of the control group (P<0.05). Conclusion： 3D printing technology has a significant effect on the treatment of proximal joint fractures of the extremities， which is conducive to reducing the amount of bleeding， shortening the operation and healing time， and improving the clinical efficacy.
[Key words] 3D printing technology Limb near-joint fracture Clinical effect Joint function
First-author’s address： People’s Hospital of Xinhui District in Jiangmen City， Jiangmen 529100， China
四肢骨折为临床中较为常见和高发的骨折类型，远关节端骨折的手术治疗较为容易，可实现良好的恢复效果，而近关节端骨折与關节挨近，若想有效保存关节、避免出现创伤性关节炎需于治疗后进行解剖复位[1]。3D打印技术属于新型的制作加工技术，可起辅助作用，近年来发展愈发成熟，被广泛应用于各大领域中[2-3]。本文旨在探讨3D打印技术在四肢近关节骨折中的治疗效果及对关节功能的影响，现报告如下。
1 资料与方法
1.1 一般资料
以笔者所在医院2016年1月-2018年6月收治的61例四肢近关节骨折患者为研究对象，随机分为研究组(31例)与对照组(30例)。研究组男20例，女11例;年龄12～60岁，平均(34.27±10.89)岁;15例车祸伤，7例重物砸伤，4例高空坠落伤，5例不明原因。对照组男18例，女12例;年龄16～65岁，平均(37.68±10.35)岁;16例车祸伤，5例重物砸伤，6例高空坠落伤，3例不明原因。两组基线资料比较，差异无统计学意义(P>0.05)，有可比性。研究符合医学伦理会批准，患者签署知情同意书。, http://www.100md.com(艾超 李颖贤)
【关键词】 3D打印技术 四肢近关节骨折 临床效果 关节功能
doi：10.14033/j.cnki.cfmr.2020.10.055 文献标识码 B 文章编号 1674-6805(2020)10-0-03
The effect of 3D Printing on the Treatment of Proximal Joint Fractures of Limbs/AI Chao， LI Yingxian. //Chinese and Foreign Medical Research， 2020， 18(10)： -133
[Abstract] Objective： To investigate the effect of 3D printing technology on the proximal joint fractures of the extremities. Method： From January 2016 to June 2018， 61 patients with proximal joint fractures in our limbs were selected as the research objects，and they were divided into study group (31 cases) and control group (30 cases). The control group was treated with conventional surgery. The study group used 3D printing technology to assist the surgery. And compared the effects， clinical indicators， healing time and joint function between the two groups. Result： The operation time (58.61±16.33) min and healing time (9.62±2.13) months in the study group were better than those in the control group (P<0.05). The blood loss in the study group was (101.66±23.57) ml， less than that of the control group (P<0.05). The HSS score after operation was (98.88±1.17) points and clinical efficacy was 96.77% of the study group， which were higher than those of the control group (P<0.05). Conclusion： 3D printing technology has a significant effect on the treatment of proximal joint fractures of the extremities， which is conducive to reducing the amount of bleeding， shortening the operation and healing time， and improving the clinical efficacy.
[Key words] 3D printing technology Limb near-joint fracture Clinical effect Joint function
First-author’s address： People’s Hospital of Xinhui District in Jiangmen City， Jiangmen 529100， China
四肢骨折为临床中较为常见和高发的骨折类型，远关节端骨折的手术治疗较为容易，可实现良好的恢复效果，而近关节端骨折与關节挨近，若想有效保存关节、避免出现创伤性关节炎需于治疗后进行解剖复位[1]。3D打印技术属于新型的制作加工技术，可起辅助作用，近年来发展愈发成熟，被广泛应用于各大领域中[2-3]。本文旨在探讨3D打印技术在四肢近关节骨折中的治疗效果及对关节功能的影响，现报告如下。
1 资料与方法
1.1 一般资料
以笔者所在医院2016年1月-2018年6月收治的61例四肢近关节骨折患者为研究对象，随机分为研究组(31例)与对照组(30例)。研究组男20例，女11例;年龄12～60岁，平均(34.27±10.89)岁;15例车祸伤，7例重物砸伤，4例高空坠落伤，5例不明原因。对照组男18例，女12例;年龄16～65岁，平均(37.68±10.35)岁;16例车祸伤，5例重物砸伤，6例高空坠落伤，3例不明原因。两组基线资料比较，差异无统计学意义(P>0.05)，有可比性。研究符合医学伦理会批准，患者签署知情同意书。, http://www.100md.com(艾超 李颖贤)
参见：首页 > 医疗版 > 疾病专题 > 骨科 > 骨折