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3D打印技术在儿童先天性脊柱半椎体手术治疗中的应用研究

蔡文全 姚瑞翔 宿玉玺 南国新 王忠良 覃佳强

临床小儿外科杂志2018,Vol.17Issue(4):259-262,4.
临床小儿外科杂志2018,Vol.17Issue(4):259-262,4.DOI:10.3969/j.issn.1671-6353.2018.04.005

3D打印技术在儿童先天性脊柱半椎体手术治疗中的应用研究

Application of three-dimensional printing for congenital hemivertebra

蔡文全 1姚瑞翔 2宿玉玺 1南国新 1王忠良 1覃佳强1

作者信息

  • 1. 重庆医科大学附属儿童医院骨二科、儿童发育疾病研究教育部重点实验室,儿童发育重大疾病国家国际科技合作基地、儿科学重庆市重点实验室 重庆市,400014
  • 2. 乌鲁木齐儿童医院骨科 乌鲁木齐市,830000
  • 折叠

摘要

Abstract

Objective To establish a solid model of congenital spinal hemivertebra body using three -dimensional(3D)printing technology and explore its application value of this model during hemivertebral surgery.Methods Retrospective analyses were performed for 40 surgical children diagnosed with congenital spinal hemivertebra deformity from September 2012 to May 2016.According to whether or not 3D printing technology was employed,they were divided into 2 groups of experimental(n=18)and control(n=22)groups.The duration of nailing operation,accuracy of placement and the incidence of neurovascular injury were compared between two groups.Results In control group,102 pedicle screws were implanted with an average setting time of 10 to 15 min and an accuracy of placement of 85.3%(87/102);In experimental group,94 pedicle screws were implanted with an average setting time of 5 to 8 min and an accuracy of placement of 94.7%(89/94).The duration of nailing operation and accuracy of placement were statistically significant between two groups(P<0.01).There was no perioperative occurrence of such complications as nervous or vascular injury.Conclusion Compared with traditional surgery without 3D printing,using preoperative patient CT data and producing spinal half-vertebral body model through 3D printing may guide operations so as to shorten the time setting nail and improving accuracy.

关键词

3D打印/脊柱半椎体畸形/儿童

Key words

3D Printing/Hemivertebra/Child

引用本文复制引用

蔡文全,姚瑞翔,宿玉玺,南国新,王忠良,覃佳强..3D打印技术在儿童先天性脊柱半椎体手术治疗中的应用研究[J].临床小儿外科杂志,2018,17(4):259-262,4.

基金项目

重庆市卫计委项目(2016msxm043) (2016msxm043)

临床小儿外科杂志

OACSTPCD

1671-6353

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