首页|计算机辅助设计3D打印经皮导板在股骨头坏死钻孔减压术中的可行性

计算机辅助设计3D打印经皮导板在股骨头坏死钻孔减压术中的可行性

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目的 探讨计算机辅助设计 3D打印经皮导板在股骨头坏死钻孔减压术中的可行性及预后优势。方法 选择2017年1月至2021 年12月收治的80 例股骨头坏死患者为研究对象,依据入院编号的奇偶性将其分为对照组(奇数)和观察组(偶数),各 40例。对照组实施常规股骨头坏死钻孔减压术,观察组实施计算机辅助设计3D打印经皮导板的股骨头坏死钻孔减压术。比较两组的治疗效果。结果 观察组的手术时长、住院时间短于对照组,透视次数、术中失血量、导针调整次数少于对照组,差异具有统计学意义(P﹤0。05)。术后1、3、6个月,观察组的Harris评分、骨密度高于对照组,差异具有统计学意义(P﹤0。05)。术后 2 周,观察组的白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)水平低于对照组,白细胞介素-10(IL-10)水平高于对照组,差异具有统计学意义(P﹤0。05)。术后 3个月,观察组的患肢内收、外展活动度大于对照组,差异具有统计学意义(P﹤0。05)。结论 计算机辅助设计 3D打印经皮导板在股骨头坏死钻孔减压术中的效果明显,可降低手术损伤,促进患者术后关节功能恢复,具有重要的临床应用价值。
Feasibility of computer-aided design of 3D printing percutaneous guide plate in drilling decompression of femoral head necrosis
Objective To explore the feasibility and prognostic advantages of computer-aided design of 3D printing percutaneous guide plate in drilling decompression of femoral head necrosis.Methods A total of 80 patients with femoral head necrosis admitted from January 2017 to December 2021 were selected as the research objects.According to the parity of admission number,the patients were divided into control group(odd number)and observation group(even number),with 40 cases in each group.The control group was treated with conventional femoral head necrosis drilling decompression,and the observation group was treated with computer-aided design of 3D printing percutaneous guide plate for femoral head necrosis drilling decompression.The therapeutic effects of the two groups were compared.Results The operation time and hospitalization time of the observation group were shorter than those of the control group,and the number of fluoroscopy times,intraoperative blood loss and guide needle adjustment times were less than those of the control group,the differences were statistically significant(P<0.05).At 1,3 and 6 months after operation,the Harris score and bone mineral density of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).At 2 weeks after operation,the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and C-reactive protein(CRP)in the observation group were lower than those in the control group,and the level of interleukin-10(IL-10)was higher than that in the control group,the differences were statistically significant(P<0.05).At 3 months after operation,the adduction and abduction activities of the affected limbs in the observation group were greater than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The computer-aided design of 3D printing percutaneous guide plate in drilling decompression of femoral head necrosis has a obvious effect,which can reduce the surgical injury and promote the recovery of joint function after operation,and has important clinical application value.

computer-aided design3D printingpercutaneous guide platedrilling decompression of femoral head necrosis

崔伟、马驰蛟、赵东军、佘新安、李鹏、张勇、杨森

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安康市中心医院,陕西 安康,725000

安康市中医医院,陕西 安康,725000

计算机辅助设计 3D打印 经皮导板 股骨头坏死钻孔减压术

陕西省卫生健康科研基金

2018D014

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(6)
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