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3D打印辅助改良Stoppa入路治疗骨盆骨折疗效分析
Analysis of 3D printing plate combined with modified Stoppa approach for the treatmentof pelvic fracture
  
DOI:
中文关键词:  3D打印  改良STOPPA入路  骨盆骨折
英文关键词:Three dimensional printing  Modified Stoppa approach  Pelvic fracture
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作者单位
隋聪 刘德宝 张复文 章乐成 许鹏飞  
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中文摘要:
      目的 探讨3D打印辅助改良STOPPA入路治疗骨盆骨折疗效分析。方法 2016年2月至2016年12月我科应用3D打印结合改良的STOPPA入路治疗骨盆骨折12例,其中平均年龄38.5岁,男性8例,女性4例,根据Tile分型:B1型4例,B2型4例,B3型1例,C1型2例,C2型1例。结果 平均手术时间75 min(50-125 min),平均出血量350 mL(150-500 mL)。术后根据Matta标准评分优10例,良2例,3月后随访所有患者骨折完全愈合,髋关节功能良好,无内固定损伤断裂,无大腿麻木等神经损伤症状,无腹股沟疝,下肢不等长,深静脉血栓形成等并发症。结论3D打印辅助改良STOPPA入路治疗骨盆骨折可以缩短手术时间,降低出血量,减少并发症等优点,但在一定程度上增加患者经济负担。
英文摘要:
      Objective To explore the analysis of 3D printing plate combined with modified Stoppa approach for the treatment of pelvic fracture. Methods From Feb 2016 to Dec 2016, 12 patients with pelvic fracture were treated by 3D printing plate combined with modified Stoppa approach. The mean age was 38.5 years old, in which there were 8 male and 4 female. According to the Tile’s classification, 4 cases were type B1, 4 cases were type B2, 1 cases were type B3, 2 cases were type C1, 1 case was type C2. Results The mean operation time was 75min (50-125min), the mean blood loss was 350 mL (150-500mL). According to the Matta standards, we assessed postoperative fracture reduction, and 10 cases were excellent, 2 cases were good. All cases were followed up 3 months, indicating bone healing, good hip function. There were no internal fixation failure, no nerve injury symptoms, no inguinal hernia, no inequality of lower limb, and no deep venous thrombosis and other complications. Conclusion The 3D printing plate combined with modified Stoppa approach for the treatment of pelvic fracture could obviously reduce operation time and the amount of intraoperative bleeding. It had a low complication rate. But it increased the economic burden of patients.
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