Study of spiral CT 3D scanning reconstruction combined with 3D printing in acetabular fracture surgery
10.3969/j.issn.1672-8270.2024.05.011
- VernacularTitle:螺旋CT三维扫描重建联合3D打印用于髋臼骨折手术的价值研究
- Author:
Shanshan WANG
1
;
Junqiao NIU
;
Jia WANG
;
Xiaojuan LI
;
Yue HONG
;
Li WANG
Author Information
1. 新疆维吾尔自治区人民医院放射影像中心 乌鲁木齐 830001
- Keywords:
Spiral computed tomography(CT);
Three-dimensional(3D)reconstruction;
Three-dimensional(3D)printing;
Acetabular fracture;
Clinical application
- From:
China Medical Equipment
2024;21(5):59-63
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application value of spiral computed tomography(CT)three-dimensional(3D)scanning reconstruction combined with 3D printing technique in surgery for acetabular fracture.Methods:A total of 71 patients with acetabular fractures admitted to Xinjiang Uiger Municipal People's Hospital from January 2018 to December 2020,who underwent surgical treatment,were selected as the research objects.According to different treatment methods,they were divided into observation group(38 cases)and control group(33 cases).The observation group adopted spiral CT 3D reconstruction,and 3D printing was used to assist the treatment of internal fixation,and the control group adopted conventionally surgical treatment.And then,the surgical effect and recovery situation of the two groups were compared.Results:The quality score(Malta)of fracture reduction and the hip score of sub-item percentile of observation group were significantly higher than those of the control group,and the intraoperative blood loss,the times of intraoperative fluoroscopy,the operation time and hospitalization time of observation group were significantly lower than those of control group(t=23.426,4.216,3.425,17.783,P<0.05),respectively.There was significant difference in the excellent rate of fracture reduction between two groups(x2=4.059,P<0.05).The pain,function and joint activity scores of hip joint function scores of patients in observation group were significantly higher than those of control group(t=-4.873,-5.776,-6.247,P<0.05),respectively.The incidence of complications in observation group was significantly lower than that in control group(x2=4.059,P<0.05).Conclusion:In the perioperative period,the application of spiral CT 3D reconstruction combined with 3D printing of acetabular fractures can further ensure the safety and feasibility of the operation,and improve the quality and efficiency of the surgery,and promote postoperative recovery.
