3D打印技术在髋臼骨折手术中的临床应用

来源 :医学临床研究 | 被引量 : 0次 | 上传用户:suyi0911
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
【目的】探讨3D打印技术在骨盆髋臼骨折手术治疗中的可行性和临床应用价值。【方法】对6例髋臼骨折患者进行螺旋CT扫描,将其DICOM数据输入计算机中,采用 Mimics软件数据处理。应用3D打印技术打印骨折模型,制定手术方案,于内固定前模拟手术过程。然后实施手术,从手术入路、钢板长度、螺钉数量及长度方面进行对比,同时对实际手术时间进行记录。【结果】6例完全采用了计划固定方法,患者术中采用的固定钢板、螺钉数与螺钉长度均与术前计划一致。随访 X线及 CT显示关节面解剖复位4例,满意复位2例,没有螺钉穿入关节腔。【结论】3D打印技术应用于髋臼骨折的治疗临床可行性良好,有助于术者对髋臼骨折的理解和术前计划的制定。“,”[Objective]To explore the feasibility and clinical value of three-dimension(3D)printing tech-nology in the treatment of acetabular fracture.[Methods]Spiral CT scan was performed in 6 patients with ace-tabular fracture.DICOM data were imported into Mimics software.The 3D printing technology was used to print the fracture models.Operative planning was worked out,and the surgical process was simulated before internal fixation,and then the operation was implemented.The aspects including operation approach,plate length,screw count and length were compared.Meanwhile,the actual operation time was recorded.[Results]The planned fixation method was completely used in 6 patients.The number and length of fixation plate and screw in 5 patients were concurrent with those before operation.The follow-up CT showed that 4 patients (66.7%)achieved anatomic reduction of articular surface,and 2 patients achieved satisfactory results without screw penetration into articular cavity.[Conclusion]The 3D printing technology for the treatment of acetabular fracture is feasible and of clinical significance.It is useful for surgeons to learn about acetabular facture and may be a powerful tool to work out preoperative planning.
其他文献
【目的】探讨心理护理干预措施在骨科老年患者术后精神障碍中的实施效果。【方法】将择期手术的60例骨科老年患者按前后时间段分为对照组和观察组各30例,对照组给予骨科围术期
为探究吕家坨井田地质构造格局,根据钻孔勘探资料,采用分形理论和趋势面分析方法,研究了井田7
为探究吕家坨井田地质构造格局,根据钻孔勘探资料,采用分形理论和趋势面分析方法,研究了井田7
【目的】探讨430例皮炎湿疹患者斑贴试验中常见过敏原的分布情况。【方法】选取皮炎湿疹患者430例,采用“瑞敏牌”斑贴试剂进行过敏原测试,分析其过敏原结果。【结果】皮炎湿疹
【目的】探讨经尿道分隔法经尿道前列腺电汽化切除术(TUVP)治疗高危前列腺增生症(BPH)的安全性和有效性。【方法】应用四定点分隔法对90例高危BPH患者行TUVP。【结果】90例患者均
【目的】比较超声造影与普通超声在宫颈癌术前诊断和分期中的诊断价值。【方法】回顾性分析经病理检查确诊的宫颈癌患者50例,比较超声造影与普通超声的诊断结果。【结果】超声
为探究吕家坨井田地质构造格局,根据钻孔勘探资料,采用分形理论和趋势面分析方法,研究了井田7
【目的】探讨三维适形(3DCRT)和静态调强(sIMRT)在肝癌放射性治疗中的剂量学差异。【方法】选择原发性肝右叶癌患者38例,所有患者均进行3DCRT和 sIMRT放疗,剂量均为50 Gy,分25次照射
【目的】探讨肺腺癌患者表皮生长因子受体酪氨酸激酶结构域(EGFR-TKD)突变与放射敏感性的关系。【方法】将36例肺腺癌并 EGFR-TKD突变者列为观察组,24例无突变者列为对照组。对
【目的】探讨应变率成像(SRI)联合组织多普勒成像(TDI)评估风湿性二尖瓣狭窄患者左心房功能的可行性。【方法】选取风湿性二尖瓣狭窄患者窦性组和房颤组各25例,正常体检者25例为对