利用Mimics软件辅助微创治疗锁骨骨折的临床应用研究
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江西省萍乡市第二人民医院

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利用Mimics软件辅助微创治疗锁骨骨折的临床应用研究


Clinical application of Mimics software for minimally invasive treatment of clavicular fracture
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1.The second people'2.'3.s Hospital of Pingxiang City, Jiangxi Province

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    摘要:

    [摘要]目的:探讨Mimics软件辅助微创治疗锁骨骨折的临床应用。方法:选取2016年7月~2019年9月在我院治疗的锁骨骨折患者70例作为研究对象,按照随机数表法将患者分为实验组和对照组各35例,对照组采用常规手术治疗锁骨骨折,实验组利用Mimics软件辅助微创治疗锁骨骨折,术后随访6个月。采用视觉模拟评分(VAS)评估患者的疼痛程度,采用肩关节功能Neer评分评估肩关节恢复情况,采用比较两组患者术中情况(手术操作时间、术中出血量、X线透视次数)、住院时间,并比较两组患者术前、术后3d、术后6个月的VAS评分、Neer评分。结果:实验组的手术操作时间、术中出血量、透视次数、住院时间明显低于对照组,差异有统计学意义(P<0.05)。实验组术前VAS评分、Neer评分比较,差异无统计学意义(P﹥0.05)。实验组的VAS评分术后3d明显低于对照组,实验组的Neer评分在术后3d、术后6个月明显高于对照组,差异有统计学意义(P<0.05)。两组的VAS评分在术后3d、术后6个月与术前比较明显降低,Neer评分在术后3d、术后6个月与术前比较明显升高,差异有统计学意义(P<0.05)。实验组并发症发生率为2.86%,明显低于对照组的22.86%,差异有统计学意义(P<0.05)。结论:利用Mimics软件辅助微创治疗锁骨骨折患者,可有效减少患者手术操作时间、术中出血量、透视次数、住院时间,减轻患者的疼痛,使患者的肩关节更好恢复,减少术后并发症的发生,可在临床上推广使用。

    Abstract:

    [Abstract] Objective: To investigate the clinical application of Mimics software in the treatment of clavicular fractures. Methods: Seventy patients with clavicular fractures treated in our hospital from July 2016 to September 2019 were enrolled. The patients were divided into experimental group and control group according to the random number table method. The control group was treated with conventional surgery. In the clavicle fracture, the experimental group used Mimics software to assist minimally invasive treatment of clavicular fractures. The patients were followed up for 6 months. Visual analog scale (VAS) was used to assess the degree of pain in the patient. The shoulder joint function Neer score was used to evaluate the recovery of the shoulder joint. The intraoperative conditions (surgery operation time, intraoperative blood loss, fluoroscopy) and hospitalization were compared between the two groups. Time, and compare the VAS score and Neer score of the two groups before, 3, and 6 months after surgery. Results: The operation time, intraoperative blood loss, number of fluoroscopy, and hospitalization time in the experimental group were significantly lower than those in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the preoperative VAS score and Neer score between the experimental group (P>0.05). The VAS score of the experimental group was significantly lower than that of the control group at 3 days after operation. The Neer score of the experimental group was significantly higher than that of the control group at 3 days after operation and 6 months after operation (P<0.05). The VAS scores of the two groups were significantly lower than those before surgery at 3 days after surgery and 6 months after surgery. The Neer score was significantly higher at 3 days after surgery and 6 months after surgery than before surgery. The difference was statistically significant (P< 0.05). The incidence of complications in the experimental group was 2.86%, which was significantly lower than that in the control group (22.86%). The difference was statistically significant (P<0.05). Conclusion: Using Mimics software to assist minimally invasive treatment of patients with clavicular fracture can effectively reduce the operation time, intraoperative blood loss, number of fluoroscopy, hospitalization time, reduce the pain of patients, improve the shoulder joint of patients, and reduce postoperative complications. The occurrence of the disease can be promoted in clinical use.

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  • 收稿日期:2019-10-17
  • 最后修改日期:2019-10-23
  • 录用日期:2019-11-04
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