目的分析数字化设计3D打印技术联合前路微创手术治疗股骨头缺血性坏死的临床效果。方法回顾性分析34例(共42髋)股骨头缺血性坏死患者的临床资料,其中接受数字化设计3D打印技术联合前路微创手术治疗的17例(21髋)为研究组,同期接受前路微创手术治疗且一般资料与研究组均衡可比的17例(21髋)为对照组。比较两组患者的术中出血量、手术时间、术后下床活动时间、手术前后Harris髋关节评分、假体角度以及术后并发症情况。结果研究组手术时间短于对照组,术中出血量少于对照组,术后下床活动时间早于对照组(均P<0.05)。术后1个月,研究组Harris评分高于对照组(P<0.05)。两组患者术后髋臼假体外展角、前倾角,以及股外侧皮神经损伤、假体脱位发生率比较,差异均无统计学意义(均P>0.05)。结论与单纯前路微创手术相比,3D打印技术联合前路微创手术治疗股骨头缺血性坏死,具有手术用时短、术中出血量少、术后康复快等优势,值得推广运用。
ObjectiveTo analyze the clinical effect of digital design 3D printing technology combined with anterior minimally invasive surgery in the treatment of avascular necrosis of femoral head. MethodsThe clinical data of 34 patients (42 hips) with avascular necrosis of femoral head were retrospectively analyzed. Among them, 17 patients (21 hips) receiving digital design 3D printing technology combined with anterior minimally invasive surgery were enrolled in the study group, and 17 patients (21 hips) with anterior minimally invasive surgery during the same period, whose general data were comparable with the study group, were enrolled in the control group. The intraoperative blood loss, operation duration, postoperative out-of-bed activity time, Harris hip scores before and after surgery, prosthesis angle and postoperative complications were compared between the two groups. ResultsThe study group yielded a shorter operation duration, less intraoperative blood loss, earlier postoperative out-of-bed activity time as compared to the control group (all P<0.05). One month after operation, The Harris score of the study group was higher than that of the control group (P<0.05). There were no statistically significant differences in postoperative abduction and anteversion angle of the acetabulum prosthesis, as well as the incidence of lateral femoral cutaneous nerve injury and prosthesis dislocation between the two groups (all P>0.05). ConclusionDigital design 3D printing technology combined with anterior minimally invasive surgery for avascular necrosis of femoral head has the advantages in a shorter operation duration, less intraoperative blood loss and a faster postoperative recovery as compared with simply anterior minimally invasive surgery, which is worthy of wide promotion and application.