三维云影像骨科临床价值研究

Clinical value of 3D cloud imaging in orthopedics

旨在研究骨科三维云影像对骨折患者和主治医生在围手术期过程中的临床价值.对150例骨折病例进行研究,为其中一半患者提供骨科三维云影像;针对患者对病情及手术方案的认知度、主治医生术前规划的充分程度以及主治医生对于手术结果的满意度三方面,分别设计相应问题,通过问卷调查统计结果,并利用Spearman系数的相关分析和有序多分类Logistic回归分析模型分别研究骨科三维云影像对于患者和主治医生临床价值.相关分析显示,不同文化程度、手术复杂度、三维云影像的使用情况和手术方案认知程度的差异有统计学意义(P<0.05),不同职级、手术复杂度、主治医生对三维云影像术前规划的使用充分程度以及术后结果满意度的差异有统计学意义(P<0.05);Ordinal回归分析显示,影响患者对病情及手术方案认知度的因素包括患者受教育程度、手术难度以及是否采用三维云影像;影响主治医生术前规划充分性和手术满意度的因素包括医生的职级、手术难度以及是否采用三维云影像.结果显示,三维云影像对于骨折患者认识病变情况及手术方案有明显正向作用,而且对临床医生制定充分的手术方案有积极意义,并且可以带来更好的术后满意度.在有条件情况下,建议将该技术作为临床医生的常规化工具进行使用.

The present study was designed to study the clinical value of 3D orthopedic cloud imaging for fracture patients and attending physicians during perioperative period.A total of 150 fracture cases were studied and 3D orthopedic cloud images were provided for half of them.Corresponding questions were designed for patients’awareness of their condition and surgical plan,the adequacy of preoperative planning by attending doctors,and the satisfaction of attending doctors for surgical results.Spearman coefficient correlation analysis and Ordinal Logistic regression analysis model were used to examine the clinical value of 3D orthopedic cloud imaging for patients and attending doctors.Correlation analysis showed that the use of 3D cloud images had significant differences in the medical conditions and surgical plan cognition of the patients with different levels of education,surgical complexity(P<0.05).There were significant differences in the adequacy of preoperative planning and satisfaction of postoperative results among attending doctors with different ranks,surgical complexity and use of 3D cloud imaging(P<0.05).Ordinal regression analysis showed that the factors influencing patients’cognition of the condition and surgical plan included patients’education level,surgical difficulty and the use of 3D cloud imaging.Factors influencing the adequacy of preoperative planning and surgical satisfaction of attending physicians were the rank of the physician,the difficulty of surgery,and the use of 3D cloud imaging.The use of 3D cloud imaging has a significant positive effect on patients’understanding of the lesion and surgical plan.The use of 3D cloud imaging significantly influenced the attending clinicians to make adequate surgical plans and better post operative satisfaction.It is concluded that this technique can be used as a routine tool for attending clinicians.