3D打印技术与髋关节疾病的治疗

Application of 3D printing technology in hip diseases

背景:因骨盆解剖结构较为复杂,与多个重要脏器、血管、神经毗邻,通过传统方法治疗复杂髋关节疾病的操作难度较大。利用3D打印技术显著提升了此类疾病的手术成功率及患者满意度。目的:归纳3D打印技术在髋关节疾病治疗中的应用效果。方法:利用计算机检索CNKI、PubMed数据库2000年1月至2019年3月发表的相关文献,中文检索词为“3D打印技术,发育性髋关节发育不良,骨盆骨折,髋臼骨折,骨盆肿瘤,髋臼肿瘤、髋关节置换”,英文检索词为“3D printing,developmental dysplasia of the hip,DDH,pelvic fracture,acetabular fracture,pelvic tumor,acetabular tumor,replacement or the hip joint”。共检索到103篇文章,根据纳入与排除标准最终纳入41篇文献进行综述。结果与结论:3D打印的优势在于不需要模具,直接通过数字化技术制造复杂的几何模具或模型。将3D打印技术应用在发育性髋关节发育不良、复杂的骨盆及髋臼骨折与髋关节肿瘤的临床治疗中,显著提高了患者满意度,减少了并发症的发生。因此,将3D打印技术用于髋关节疾病的诊治对髋关节疾病的术前指导、术中操作以及术后康复都具有重要临床意义与广阔的应用前景。

BACKGROUND:Because the pelvic has complex anatomical structure and is adjacent to many important organs,blood vessels,and nerves,so it is difficult to treat complex hip diseases by traditional methods.The use of 3D printing technology has significantly increased the success rate of surgery and patient satisfaction for these diseases.OBJECTIVE:To summarize the application effects of 3D printing technology in the treatment of hip diseases.METHODS:CNKI and PubMed databases were retrieved by computer.The search terms were"3D printing,development dysplasia of the hip,DDH,pelvic fracture,acetabular fracture,pelvic tumor,acetabular tumor,replacement or the hip joint"in Chinese and English.The retrieval time was from January 2000 to March 2019.A total of 103 articles were retrieved.According to inclusion and exclusion criteria,41 articles were included in the final analysis.RESULTS AND CONCLUSIONS:The advantage of 3D printing is that it does not require molds and directly creates complex geometric molds or models through digital technology.The application of 3D printing technology in the development of developmental hip dysplasia,complex pelvic and acetabular fractures and hip joint tumors significantly improve patient satisfaction and reduce complications.Therefore,the use of 3D printing technology for the diagnosis and treatment of hip joint disease has important clinical significance and broad application prospects for preoperative guidance,intraoperative operation and postoperative rehabilitation of hip joint diseases.