首页|基于3D打印的可吸收抗生素载体治疗慢性骨髓炎的研究

基于3D打印的可吸收抗生素载体治疗慢性骨髓炎的研究

扫码查看
目的:探讨基于 3D打印的可吸收抗生素载体在治疗慢性骨髓炎中的效果。方法:选取 2021年 3月—2024年 1月阳光融和医院收治的 80例慢性骨髓炎患者作为研究对象。采用随机数字表法将患者分为试验组和对照组,每组 40例。试验组采用 3D打印技术定制含敏感抗生素的硫酸钙载体进行治疗,对照组接受传统抗生素治疗。比较两组的细菌清除率、治愈率、骨愈合情况和并发症发生情况。结果:术后 1、3、6个月,试验组细菌清除率均为 100。00%,均高于对照组的 85。00%、80。00%、75。00%,差异均有统计学意义(P<0。05)。术后 3、6个月,试验组治愈率为 85。00%、90。00%,均高于对照组的 65。00%、70。00%,组间差异有统计学意义(P<0。05)。术后 6个月,试验组骨愈合率为 80。00%,高于对照组的50。00%,差异有统计学意义(P<0。05)。试验组并发症发生率 2。50%低于对照组的 20。00%,差异有统计学意义(P<0。05)。结论:基于 3D打印的可吸收抗生素载体在治疗慢性骨髓炎方面具有显著效果,能够有效提高细菌清除率和治愈率,可为临床应用提供参考。
Study on the Treatment of Chronic Osteomyelitis with 3D-Printed Absorbable Antibiotic Carriers
Objective:To investigate the application and efficacy of 3D-printed absorbable antibiotic carriers in the treatment of chronic osteomyelitis.Methods:A total of 80 patients with chronic osteomyelitis admitted to Sunshine Union hospital from March 2021 to January 2024 were selected as the research subjects.Patients were divided into an experimental group and a control group using a random number table method,with 40 cases in each group.The experimental group was treated with customized 3D-printed calcium sulfate carriers containing sensitive antibiotics,while the control group received conventional antibiotic treatment.Compare the bacterial clearance rate,cure rate,bone healing status,and the occurrence of complications between the two groups.Results:At 1,3,6 months postoperatively,the bacterial clearance rate in the experimental group were all 100.00%,which were higher than 85.00%、80.00%、75.00%in the control group,the differences between the two groups were statistically significant(P<0.05).At 3,6months postoperatively,the cure rate of the experimental group were 85.00%,90.00%,which were higher than 65.00%,70.00%of the control group,the differences between the two groups were statistically significant(P<0.05).At 6 months postoperatively,the bone healing rate in the experimental group was 80.00%,which was higher than 50.00%in the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the experimental group was 2.50%,which was lower than 20.00%in the control group,the difference between the groups was statistically significant(P<0.05).Conclusion:3D-printed absorbable antibiotic carriers have significant efficacy in the treatment of chronic osteomyelitis,effectively improving bacterial clearance and cure rates,and providing a new strategy for clinical treatment.

Chronic Osteomyelitis3D printingAbsorbable Antibiotic CarriersTreatment

魏华、李永华

展开 >

阳光融和医院创伤骨科,山东 潍坊 261000

阳光融和医院风湿免疫科,山东 潍坊 261000

慢性骨髓炎 3D打印 可吸收抗生素载体 治疗

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)