3D打印技术在成人DDH人工全髋关节置换术中的应用效果
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摘要
目的分析3D打印技术在成人髋关节发育不良(DDH)人工全髋关节置换术中的应用效果。方法选择本院2015年6月至2016年6月收治的33例成人DDH患者为研究对象,患者均在行人工全髋关节置换术中应用3D打印技术,分析其治疗效果。结果 33例患者平均手术时间为(79.45±18.34)min,平均术后下床时间为(3.03±0.82)d,平均住院时间为(16.77±6.02)d。手术后,患者的HHS、NRS评分均显著改善(P<0.05);患者的曲髋、外展活动度均显著增大(P<0.05)。患者均未出现并发症。结论将3D打印技术应用于成人DDH人工髋关节置换术中,可缩短手术时间,改善患者患肢功能,减少并发症,促进患者早日康复。
Objective To analyze the application effect of 3D printing technology in artifitial total hip replacement for adult developmental dysplasia of the hip(DDH). Methods Thirty-three adult DDH patients admitted in our hospital from June 2015 to June 2016 were selected as the study objects. All patients underwent artifitial total hip arthroplasty using 3D printing technology, and the therapeutic effects were analyzed. Results The average operation time of 33 patients was(79.45±18.34) min, average time of getting out of bed after operation was(3.03 ±0.82) d, average hospitalization time was(16.77±6.02) d. After operation, the scores of HHS and NRS of patients significantly improved(P<0.05). The hip flexion and abduction activity of the patients increased significantly(P <0.05). No complications occurred. Conclusion The application of 3D printing technology artifitial in total hip replacement for adult DDH can shorten the operation time,improve limb function, reduce the incidence of complications and promote early recovery of patients.
Objective To analyze the application effect of 3D printing technology in artifitial total hip replacement for adult developmental dysplasia of the hip(DDH). Methods Thirty-three adult DDH patients admitted in our hospital from June 2015 to June 2016 were selected as the study objects. All patients underwent artifitial total hip arthroplasty using 3D printing technology, and the therapeutic effects were analyzed. Results The average operation time of 33 patients was(79.45±18.34) min, average time of getting out of bed after operation was(3.03 ±0.82) d, average hospitalization time was(16.77±6.02) d. After operation, the scores of HHS and NRS of patients significantly improved(P<0.05). The hip flexion and abduction activity of the patients increased significantly(P <0.05). No complications occurred. Conclusion The application of 3D printing technology artifitial in total hip replacement for adult DDH can shorten the operation time,improve limb function, reduce the incidence of complications and promote early recovery of patients.
引文
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[9]赵坤,段宜强.3D打印技术在成人DDH全髋置换术中的应用[J].黔南民族医专学报,2015,28(4):245-246,253.
[2]贺超良,汤朝晖,田华雨,等.3D打印技术制备生物医用高分子材料的研究进展[J].高分子学报,2013,4(6):722-732.
[3]林权德,邱永荣,邱汉民,等.全髋置换治疗成人髋关节发育不良继发骨性关节炎[J].中国医药指南,2016,14(3):80-81.
[4]彭阳,杨柳,陈光兴,等.CroweⅢ及Ⅳ型髋关节发育不良全髋关节置换术中髋臼骨缺损的重建[J].中华外科杂志,2014,52(1):25-29.
[5]李彪,郭双红,龚跃昆,等.股骨转子下叠加截骨的人工全髋关节置换术治疗CroweⅣ型成人发育性髋关节发育不良[J].中国修复重建外科杂志,2013,27(6):645-648.
[6]杨龙,王建吉,刘国勇,等.3D打印技术在髋臼发育不良髋关节置换中的初步应用[J].中国矫形外科杂志,2016,24(17):1550-1553.
[7]杨清,杨毅,杨柳,等.3D打印技术用于人工全髋关节置换术治疗成人DDH的临床应用[J].实用骨科杂志,2017,23(8):693-697.
[8]官建中,刘亚军,吴敏,等.3D打印技术在成人DDH人工全髋关节置换术中的临床应用研究[J].中华全科医学,2016,14(7):1080-1082.
[9]赵坤,段宜强.3D打印技术在成人DDH全髋置换术中的应用[J].黔南民族医专学报,2015,28(4):245-246,253.