基层医院髋臼骨折的数字化术前设计及临床应用

Digital preoperative design and clinical application of acetabular fractures in primary hospitals

目的:探讨基层医院髋臼骨折患者应用数字化3D技术进行术前设计的临床效果.方法:以32例髋臼骨折患者为对象,患者就诊时间段为2015年1月-2019年1月期间,将其中的常规术前CT扫描三维重建内固定治疗的16例患者纳入对照组,另外16例患者联合采用3D打印技术的患者纳入观察组.比较患者手术指标,观察患者术后并发症发生率.结果:观察组并发症低于对照组(P<0.05);观察组患者手术时间、术中透视次数及术中出血量均少于对照组(P<0.05).结论:基层医院就诊的髋臼骨折患者实施现代化的数字化设计技术进行内固定手术治疗,并且缩短手术时间,减少出血量及并发症,具有积极的推广价值.

Objective:To investigate the clinical effect of preoperative design of acetabular fracture patients in primary hospital by digital 3D technology.Methods:Thirty-two patients with acetabular fracture were selected as the subjects.During January 2015 and January 2019,16 patients with conventional preoperative CT scanning and three-dimensional reconstruction for internal fixation were included in the control group.Another 16 patients with combined use of three-dimensional printing technology were included in the observation group.Comparing the operative indexes of patients and observing the incidence of complications after operation.Results:The complications in the observation group were lower than those in the control group(P<0.05),and the operation time,fluoroscopy times and bleeding volume in the observation group were less than those in the control group(P<0.05).Conclusion:The application of modem digital design technology in internal fixation for acetabular fracture patients in primary hospitals could shorten the operation time,reduce the amount of bleeding and complications,which had positive popularization value.