3D打印技术结合骨伤复原汤治疗复杂髋臼骨折
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山东省文登整骨医院

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1、山东省中医科技发展计划项目(Q-2022031);2、’ 第四批威海市中医重点专科(骨关节科)


Complex acetabular fracture was treated by 3D printing combined with Gushangfuyuan decoction
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山东省文登整骨医院

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    摘要:

    摘要:[目的]观察3D打印技术结合骨伤复原汤治疗复杂髋臼骨折的临床治疗效果。[方法]本次纳入对象为山东省文登整骨医院骨关节科2019年7月~2021年7月收治的86例复杂髋臼骨折患者,数字随机表法均分成两组,各43例。对照组采用常规手术复位固定,观察组基于对照组加用3D打印技术,两组均于术后口服骨伤复原汤,比较两组手术透视次数、总耗时、出血量、住院时间及下地负重时间。术后第3d拍摄髂骨、闭孔斜位及骨盆正位X线检查,骨折复位依据Matta影像学评定标准判定。术后6个月对两组髋关节功能予以评估,主要依据改良Mere D’Aubigne&Postel评分系统。[结果]纳入本研究共86例患者,其中男53例,女33例;年龄18~58岁。两组患者均顺利完成手术,3D打印组手术透视次数、手术耗时、出血量、住院时间、地负重时间显著少于对照组,差异有统计学意义(P = 0.000)。两组骨折复位效果比较:观察组骨折复位优24例(55.81%),良16例(37.21%),优良率93.02%;对照组骨折复位优15例(34.88%),良17例(39.54%),优良率74.72%,两组相比差异具有统计学意义(P<0.05)。术后6个月髋关节功能恢复效果比较:观察组骨折复位优35例(81.40%),良6例(13.95%),优良率95.35%;对照组骨折复位优20例(46.51%),良13例(30.23%),优良率76.74%,两组相比差异具有统计学意义(P<0.05);观察组髋关节功能恢复优良率明显高于对照组(P<0.05);④术后并发症发生率比较:观察组与对照组并发症发生率比较差异无统计学意义(P >0.05)。[结论]3D打印技术结合骨伤复原汤治疗复杂髋臼骨折技术可加快患者术后康复速度,增强手术复位效果且改善髋关节功能。

    Abstract:

    Abstract:[Objective ] To observe the clinical effect of 3D printing combined with Gushangfuyuan decoction in the treatment of complex acetabular fracture. [Methods]The subjects were 86 patients with complex acetabular fractures admitted to the Department of Orthopaedics and Articulation,Wendeng Orthopaedics &Rehabilitation Hospital from July 2019 to July 2019.The control group was treated with conventional reduction and fixation,the observation group was treated with 3D printing technique based on the control group,and both groups were treated with Gushang Fuyuan decoction after operation, the Times of fluoroscopy,the total time spent, the amount of bleeding,the time of hospitalization and the time of weight bearing were compared between the two groups. The ilium,obturator oblique position and pelvis anteroposterior X-ray were taken on the 3rd day after operation.The fracture reduction was judged according to Matta imaging evaluation standard.Hip function was assessed in both groups at 6 months postoperatively,based primarily on the modified Mere D""aubigne&Postel scoring system.[Results]A total of 86 patients (53 males and 33 females,aged 18-58 years) were included in this study.The Times of fluoroscopy,the time of operation,the amount of blood loss,the time of hospitalization and the time of carrying weight were significantly less in the 3D printing group than in the control group (P = 0.000).The results of fracture reduction in the observation group were excellent in 24 cases (55.81%) ,good in 16 cases (37.21%),excellent and good in 93.02%,while in the control group were excellent in 15 cases (34.88%),good in 17 cases (39.54%),excellent and good in 74.72%,there was significant difference between the two groups (P < 0.05).In the Observation Group,35 cases (81.40%) were excellent and 6 cases (13.95%) were good,the excellent and good rate was 95.35%,in the control group,20 cases (46.51%) were excellent and 13 cases (30.23%) were good, the excellent and good rate was 76.74%,there was significant difference between the two groups (P < 0.05),the excellent and good rate of hip function recovery in the observation group was significantly higher than that in the control group (P < 0.05) 4 comparison of postoperative complications: there was no significant difference between the observation group and the control group (P > 0.05).[Conclusion]3D printing combined with Gushangfuyuan decoction in the treatment of complex acetabular fracture can speed up the postoperative rehabilitation,enhance the reduction effect and improve the hip joint function.

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  • 收稿日期:2022-10-13
  • 最后修改日期:2022-10-13
  • 录用日期:2023-02-03
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