| 3D打印技术辅助肩胛骨改良Judet入路手术治疗肩胛骨骨折的疗效 |
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| 引用本文： | 周柏臻,李春雨,林绍仪,刘付滴,徐万宏. 3D打印技术辅助肩胛骨改良Judet入路手术治疗肩胛骨骨折的疗效[J]. 中华老年骨科与康复电子杂志, 2022, 8(3): 172-176. DOI: 10.3877/cma.j.issn.2096-0263.2022.03.008 |
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| 作者姓名： | 周柏臻 李春雨 林绍仪 刘付滴 徐万宏 |
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| 作者单位： | 1. 528315 广州医科大学附属顺德医院 |
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| 基金项目： | 佛山市自筹经费类科技计划项目(2017AB003703) |
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| 摘 要： | 目的探讨3D打印技术辅助肩胛骨改良Judet入路手术治疗肩胛骨骨折的疗效。 方法前瞻性收集2016年10月到2020年6月广州医科大学附属顺德医院骨外科收治的63例肩胛骨骨折患者,年龄17~59岁,其中男性40例,女性23例,随机分成2组,对照组（30例行）改良Judet入路手术,研究组（33例）行3D打印技术辅助下的改良Judet入路手术,比较两组围术期一般指标、术后肩关节功能恢复及并发症发生情况。 结果研究组手术时间[（96±16）min]、术中出血量[（263±19）mL]及术中透视次数[（4.2±0.9）次]均明显小于对照组[（145±24）min、（342±35）mL、（8.5±2.1）次]（P<0.001）;两组患者复查X线片提示骨折均愈合,两组骨折愈合时间比较差异无统计学意义[（7.9±1.8）vs（8.6±2.0）个月]（P>0.05）;研究组肩关节功能优良率为81.82%,明显高于对照组（66.67%）,组间比较差异有统计学意义（P<0.05）;两组术后并发症发生情况无明显差异（P>0.05）。 结论3D打印技术辅助改良Judet入路手术治疗肩胛骨骨折可缩短手术时间,减少术中出血量,降低医患射线暴露风险,提升术后肩关节功能效果。
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| 关 键 词： | 肩胛骨骨折 3D打印技术 改良Judet入路 肩关节功能 |
| 收稿时间： | 2021-04-15 |
3D printing technology assisted scapula modified Judet approach for the treatment of scapular fractures |
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| Baizhen Zhou,Chunyu Li,Shaoyi Lin,Fudi Liu,Wanhong Xu. 3D printing technology assisted scapula modified Judet approach for the treatment of scapular fractures[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 8(3): 172-176. DOI: 10.3877/cma.j.issn.2096-0263.2022.03.008 |
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| Authors: | Baizhen Zhou Chunyu Li Shaoyi Lin Fudi Liu Wanhong Xu |
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| Affiliation: | 1. Shunde Hospital Affiliated to Guangzhou Medical University, Guangdong 528315, China |
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| Abstract: | ObjectiveTo explore the effect of 3D printing technology assisted scapular modified Judet approach for the treatment of scapular fracture. MethodsWe prospectively collected 63 patients with scapula fractures from October 2016 to June 2020 in the Department of Orthopedics, Shunde Hospital Affiliated to Guangzhou Medical University, aged 17-59 years, including 40 males and 23 females, They were randomly divided into 2 groups, the control group (30 cases) with modified Judet approach and minimally invasive surgery. Group (33 cases) underwent a modified Judet approach minimally invasive surgery assisted by 3D printing technology, and compared the two groups' perioperative general indicators, postoperative shoulder function recovery and complications. ResultsThe operation time [(96±16)min], intraoperative blood loss [(263±19)mL] and intraoperative fluoroscopy times [(4.2±0.9)times] in the study group were significantly shorter than those in the control group [(145±24)min], (342±35) mL, (8.5±2.1) times] (P<0.001); The X-ray films of the two groups showed that the fractures healed, and there was no significant difference in the fracture healing time between the two groups [(7.9±1.8) vs (8.6±2.0) months] (P>0.05); The excellent and good rate of shoulder joint function in the study group was 81.82%, which was significantly higher than that in the control group (66.67%), and the difference between the two groups was statistically significant (P<0.05). Conclusion3D printing technology assisted by modified Judet approach minimally invasive surgery for scapular fractures can shorten the operation time, reduce intraoperative blood loss, reduce the risk of doctor-patient radiation exposure, and improve postoperative shoulder joint function. |
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| Keywords: | Scapula fracture 3D printing technology Modified Judet approach Shoulder joint function |
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