个性化3Ｄ打印导板改良单侧穿刺椎体后凸成形术

doi:10.13418/j.issn.1001-165x.2026.4.13

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中国临床解剖学杂志 ›› 2026, Vol. 44 ›› Issue (4) : 456-462. DOI: 10.13418/j.issn.1001-165x.2026.4.13

临床研究

个性化3Ｄ打印导板改良单侧穿刺椎体后凸成形术

张杨^1#，张伟^1#，李树文¹，张海斌¹，王鹏¹，李志军²，吴一民¹*

作者信息 +

Personalized 3D-printed guide to improve unilateral puncture kyphoplasty

Zhang Yang^1#, Zhang Wei^1#, Li Shuwen¹, Zhang Haibin¹, Wang Peng¹, Li Zhijun², Wu Yimin¹*

Author information +

文章历史 +

摘要

目的探讨个性化设计的3D打印导板改良单侧穿刺经皮椎体后凸成形术的临床疗效及意义。方法选取我院2020年6月至2024年6月间符合标准的110例骨质疏松性椎体压缩骨折患者进行回顾性研究。根据术中是否使用个性化3D打印导板分为2组：3D打印导板组（观察组）55例，传统椎体后凸成形术组（对照组）55例。对比两组患者一般资料、手术相关指标，术中骨水泥渗漏、骨水泥弥散分布情况，并采用疼痛视觉模拟评分比较患者术后疼痛缓解情况。结果观察组术中所需透视次数、手术时间方面均显著优于对照组（P<0.05）。观察组发生骨水泥渗漏例数显著低于对照组，且观察组术后骨水泥弥散体积比显著大于对照组（P<0.05）。术后观察组与对照组疼痛视觉模拟评分均显著小于术前评分（P<0.05）。两组患者术后随访时间均≥3个月，随访期间两组的相邻椎体再发骨折率相比差异无显著性意义（P>0.05）。结论单侧穿刺经皮椎体后凸成形术中应用个性化3D打印导板进行改良穿刺，较传统组可显著减少手术时间和术中透视次数，提高骨水泥分布，降低骨水泥渗漏率，是一种安全、有效的方式。

Abstract

Objective To investigate the clinical efficacy and significance of a modified unilateral puncture percutaneous kyphoplasty (PKP) using personalized 3D-printed guides. Methods A retrospective analysis was performed on 110 patients with osteoporotic vertebral compression fractures (from June 2020 to June 2024). Based on the intraoperative use of a personalized 3D-printed guide, patients were divided into a 3D-printed guide group (n=55) and a traditional PKP group (n=55). The general information of the patients and perioperative parameters were compared between the two groups, including intraoperative bone cement leakage and dispersion patterns. Pain relief was evaluated using the Visual Analogue Scale (VAS) postoperatively. Results The 3D-printed guide group showed significantly shorter operative time, fewer fluoroscopies, less cement leakage, and better cement dispersion than the control group (all P<0.05). The postoperative VAS scores in both the 3D-printed guide group and control groups were significantly lower than the preoperative scores (P<0.05). All patients in both groups were followed up for at least 3 months. There was no significant difference in the incident of adjacent vertebral refracture. Conclusions The application of using personalized 3D-printed guides in a modified unilateral puncture percutaneous kyphoplasty significantly reduces surgical time and intraoperative fluoroscopy exposure compared to the conventional group, improves cement distribution, and lowers the cement leakage rate, making it a safe and effective approach.

导出引用

张杨, 张伟, 李树文, 张海斌, 王鹏, 李志军, 吴一民. 个性化3Ｄ打印导板改良单侧穿刺椎体后凸成形术[J]. 中国临床解剖学杂志. 2026, 44(4): 456-462 https://doi.org/10.13418/j.issn.1001-165x.2026.4.13

Zhang Yang, Zhang Wei, Li Shuwen, Zhang Haibin, Wang Peng, Li Zhijun, Wu Yimin. Personalized 3D-printed guide to improve unilateral puncture kyphoplasty[J]. Chinese Journal of Clinical Anatomy. 2026, 44(4): 456-462 https://doi.org/10.13418/j.issn.1001-165x.2026.4.13

中图分类号： R687.3 R323.43

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