计算机辅助技术联合3D打印模板在脊柱畸形矫正手术中的应用研究

王虹; 丁焕文; 刘宝; 黄敏强; 沈健坚

doi:10.13418/j.issn.1001-165x.2016.04.008

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (4) : 392-396. DOI: 10.13418/j.issn.1001-165x.2016.04.008

断层影像解剖

计算机辅助技术联合3D打印模板在脊柱畸形矫正手术中的应用研究

王虹¹,　丁焕文¹,　刘宝²,　黄敏强¹,　沈健坚¹

作者信息 +

The research of computer aided design and 3D printing in spinal deformity surgery

WANG Hong¹， DING Huan-wen¹, LIU Bao², HUANG Ming-qiang¹, SHEN Jian-jian¹

Author information +

文章历史 +

摘要

目的　探讨计算机辅助技术在脊柱畸形手术中的应用价值。方法　计算机辅助手术组：选择我科自2009年1月起至2011年6月32例脊柱畸形患者，通过计算机辅助技术结合3D打印完成手术，术后随访12~60个月。对照组：对照我科同期27例常规手术治疗的脊柱畸形患者，通过对二组的各项指标进行对比并行统计学分析，论证计算机辅助技术的优越性。结果　计算机辅助手术组与对照组相比，手术时间、术中出血量、置钉成功率、术中X线照射次数、 Cobb角纠正率均较对照组改善，对比均有统计学意义（P<0. 05）。结论　计算机辅助技术能显著提高脊柱畸形外科手术的准确度及安全性，缩短手术时间。

Abstract

Objective　To investigate the value of computer aided design (CAD) in spinal deformity surgery.　Method　CAD operation group:32 patients with scoliosis, kyphosis, and spine hemivertebrae were enrolled from January, 2009 to July, 2011, underwent surgery with the help of computer aided design combined with 3D printing , and followed up for 12 months to 60 months. Control group：at the same period, 27 cases with scoliosis were cured by the conventional surgical methods with the surgery performed by the same doctors.The patients were also followed up. Surgical duration and other indicators were compared between the same groups by statistical analysis to demonstrate the superiority of the CAD.　Result　Compared with the CAD group, the surgical operation, amount of bleeding , accuracy of the screw placement,exposure time of X-ray, rectified rate of cobb angle has significant difference（P＜0.05）.　Conclusion　Surgical correction of scoliosis and kyphosis with the help of CAD can increase the accuracy and security of these operations and reduce the surgical duration.

导出引用

王虹,丁焕文,刘宝,黄敏强,沈健坚. 计算机辅助技术联合3D打印模板在脊柱畸形矫正手术中的应用研究[J]. 中国临床解剖学杂志. 2016, 34(4): 392-396 https://doi.org/10.13418/j.issn.1001-165x.2016.04.008

WANG Hong， DING Huan-wen, LIU Bao, HUANG Ming-qiang, SHEN Jian-jian. The research of computer aided design and 3D printing in spinal deformity surgery[J]. Chinese Journal of Clinical Anatomy. 2016, 34(4): 392-396 https://doi.org/10.13418/j.issn.1001-165x.2016.04.008

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