虚拟仿真结合3D打印技术辅助微创经皮椎弓根螺钉内固定术治疗脊柱骨折患者的效果分析
Effect Analysis of Virtual Simulation Combined with 3D Printing Technology Assisted Minimally Invasive Percutaneous Pedicle Screw Fixation in the Treatment of Spinal Fracture Patients
王曦1
作者信息
- 1. 苏州大学附属第一医院脊柱外科,江苏 苏州 215000
- 折叠
摘要
目的:探讨虚拟仿真结合 3D打印技术辅助微创经皮椎弓根螺钉内固定术(PPSF)治疗脊柱骨折患者的临床效果.方法:选取 2021年 6月—2023年 6月苏州大学第一附属人民医院收治的98例脊柱骨折患者为研究对象,按照随机数字表法将患者分为对照组与试验组,各 49例.对照组采用常规微创PPSF治疗,试验组采用虚拟仿真结合 3D打印技术辅助微创PPSF治疗.比较两组的手术情况、椎体恢复情况、腰椎功能、日常生活能力、功能障碍情况、疼痛程度及并发症发生情况.结果:试验组手术时间短于对照组,术中出血量、术中透视次数均少于对照组,差异均有统计学意义(P<0.05).术后6个月,试验组椎体前缘高度高于对照组,Cobb角低于对照组,差异均有统计学意义(P<0.05);试验组日本骨科协会腰椎功能评分高于对照组,差异有统计学意义(P<0.05);试验组Barthel指数高于对照组,Oswestry功能障碍指数低于对照组,差异均有统计学意义(P<0.05).术后 1、7 d,试验组疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0.05).试验组并发症发生率为 4.08%,高于对照组的 2.04%,但两组比较差异无统计学意义(P>0.05).结论:虚拟仿真结合 3D打印技术辅助微创PPSF治疗脊柱骨折患者效果更佳,可减轻手术创伤,加快椎体恢复速度,增强腰椎功能,且安全可靠.
Abstract
Objective:To explore the clinical effect of virtual simulation combined with 3D printing technology assisted minimally percutaneous pedicle screw fixation(PPSF)in the treatment of spinal fracture patients.Methods:Ninety-eight patients with spinal fracture admitted to The First Affiliated People's Hospital of Suzhou University from June 2021 to June 2023 were selected as the study objects.According to the random number table method,the patients were divided into a control group and an experimental group,with 49 cases in each group.The control group received conventional minimally PPSF treatment,and the experimental group received virtual simulation combined with 3D printing technology assisted minimally PPSF treatment.Operation situation,vertebral recovery,lumbar function,ability of daily living,dysfunction,pain and complications were compared between the two groups.Results:The operative time of the experimental group was shorter than that of the control group,and the amount of intraoperative blood loss and intraoperative fluoroscopy times were less than those of the control group,with statistical significance(P<0.05).Six months after operation,the vertebral anterior margin height of the experimental groups was higher than that of the control group,and the Cobb angle was lower than that of the control group,with statistical significance(P<0.05);the Japanese Orthopaedic Association lumbar function score of the experimental group was higher than that of the control group,the difference was statistically significant(P<0.05);the Barthel Index score of the experimental groups was higher than that of the control group,and the Oswestry Disability Index was lower than that of the control group,with statistical significance(P<0.05).On the 1st and 7th day after operation,the pain Visua Analogue Scale scores of the experimental groups were lower than those of the control group,the differences were statistically significant(P<0.05).The complication rate of the experimental group was 4.08%,which was higher than 2.04%of the control group,but there was no statistically significant between the two groups(P>0.05).Conclusion:Virtual simulation combined with 3D printing technology assisted minimally.PPSF in the treatment of spinal fracture patients is more effective,can reduce surgical trauma,accelerate the speed of vertebral recovery,enhance the function of lumbar spine,and is safe and reliable.
关键词
脊柱骨折/虚拟仿真/3D打印技术/微创经皮椎弓根螺钉内固定术/并发症Key words
Spinal fractures/Virtual simulation/3D printing technology/Minimally invasive percutaneous pedicle screw fixation surgery/Complications引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据