中国现代手术学杂志2017，Vol.21Issue(5)：321-326,6.DOI:10.16260/j.cnki.1009-2188.2017.05.001
3D打印技术在经皮椎体成形术中的临床应用
Clinical Application of Three-Dimensional Printing Technology in Percutaneous Vertebroplasty
摘要
Abstract
Objective To explore the feasibility and clinical value of three-dimensional(3D) printing technology in percutaneous vertebroplasty. Methods From February 2014 to February 2015,a total of 64 pa-tients were selected for percutaneous vertebroplasty. The patients received X-ray,CT three-dimensional recon-struction and MRI preoperatively. They were divided into two groups randomly,with 32 cases in each. The con-trol group was punctured and injected bone cement by the conventional method. And the experimental group was punctured under the guidance of the demonstration of the vertebral lesions through the 3D model of the injured vertebral,and then an accurate PVP was performed. Results Sixty four patients got followed up for 12 months. X-ray exposure time and operation time of the experimental group was significantly shorter than the control group (P<0. 05). There was no significant difference in the improved kyphotic Cobb angle between the two groups (P>0. 05). Cement leakage occurred in 2 of the 32 patients in the experimental group,while six ca-ses of bone cement leakage was observed in the control group,and the difference was significant(P<0. 05). There were significant differences in the VAS score and ODI score between the preoperative one and the postoper-ative one in both two groups (P<0. 05),and there was no significant difference between the two groups at the end of follow-up (P>0. 05). Conclusion It plays an important role of the 3D printing technology in guiding the percutaneous vertebraplasty puncture,which can improve the accuracy of the PVP in the future.关键词
3D打印/胸腰椎骨折/经皮椎体成形术/骨质疏松Key words
three-dimensional printing technology/thoracolumbar fractures/percutaneous kyphoplasty/osteoporosis分类
医药卫生引用本文复制引用
王欣文,刘继军,王文涛,吴起宁,郝定均,屈巍..3D打印技术在经皮椎体成形术中的临床应用[J].中国现代手术学杂志,2017,21(5):321-326,6.基金项目
陕西省社发攻关项目(2017SF-233) （2017SF-233）
