3D打印技术辅助下儿童DDH手术疗效分析
李克伟;戎帅;滕勇;李浩;刘连涛;甄可培;郑冲;李锋;
摘要(Abstract):
[目的]探讨儿童DDH不同手术方案治疗效果以及3D打印技术在手术中的应用价值。[方法]本研究共纳入36例单侧DDH患者,24例行Salter骨盆截骨术,6例行DEGA骨盆截骨术,4例行Pemberton骨盆截骨术,2例行三联截骨术,16例患者术前应用3D打印技术制作出实物模型,制定手术方案并模拟手术操作。术后髋人字石膏固定6周,拆除石膏后行功能锻炼。[结果] 36例患者均获1~5年随访,根据Severin X线评定标准,优27例,良6例,优良率91.7%;根据Mckay临床评定标准,优25例,良7例,优良率88.9%。[结论]根据DDH患者年龄及病理特点,选择不同的手术方案,对于大龄儿童术前制作3D打印模型,有助于明确诊断,制定准确的手术方案,进一步提高治疗效果。
关键词(KeyWords): DDH;手术治疗;3D打印逆向工程
基金项目(Foundation): 河北省医学适用技术跟踪项目(编号:G201763);; 国家自然科学基金项目(编号:31360229,51165044);; 石家庄市科学技术研究与发展指导计划项目(编号:161460893,171462323);; 新疆维吾尔自治区区域协同创新专项计划项目(编号:2019E0277)
作者(Author): 李克伟;戎帅;滕勇;李浩;刘连涛;甄可培;郑冲;李锋;
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