3D打印技术在经皮椎体成形术中的临床应用

doi:10.16260/j.cnki.1009-2188.2017.05.001

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (5): 321-326 DOI: 10.16260/j.cnki.1009-2188.2017.05.001

Orginal Research

Clinical Application of ThreeDimensional Printing Technology in Percutaneous Vertebroplasty

WANG Xin-wen, LIU Ji-jun, WANG Wen-tao, WU Qi-ning,HAO Ding-jun, QU Wei

Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054，Shaanxi, China

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Abstract ObjectiveTo explore the feasibility and clinical value of threedimensional (3D) printing technology in percutaneous vertebroplasty.MethodsFrom February 2014 to February 2015，a total of 64 patients were selected for percutaneous vertebroplasty. The patients received Xray, CT threedimensional reconstruction and MRI preoperatively. They were divided into two groups randomly, with 32 cases in each. The control group was punctured and injected bone cement by the conventional method. And the experimental group was punctured under the guidance of the demonstration of the vertebral lesions through the 3D model of the injured vertebral, and then an accurate PVP was performed.ResultsSixty four patients got followed up for 12 months. Xray exposure time and operation time of the experimental group was significantly shorter than the control group (P<0.05). There was no significant difference in the improved kyphotic Cobb angle between the two groups (P>0.05). Cement leakage occurred in 2 of the 32 patients in the experimental group, while six cases of bone cement leakage was observed in the control group, and the difference was significant(P<0.05). There were significant differences in the VAS score and ODI score between the preoperative one and the postoperative one in both two groups (P<0.05), and there was no significant difference between the two groups at the end of followup (P>0.05).ConclusionIt plays an important role of the 3D printing technology in guiding the percutaneous vertebraplasty puncture, which can improve the accuracy of the PVP in the future.

Key words： threedimensional printing technology thoracolumbar fractures percutaneous kyphoplasty osteoporosis

Received: 25 March 2017 Published: 15 May 2018

ZTFLH:

R683.2

Corresponding Authors: QU Wei

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	王欣文，刘继军，王文涛，吴起宁，郝定均，屈巍

Cite this article:

王欣文，刘继军，王文涛，吴起宁，郝定均，屈巍. Clinical Application of ThreeDimensional Printing Technology in Percutaneous Vertebroplasty[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(5): 321-326.

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http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.05.001 OR http://www.surgerychina.com/EN/Y2017/V21/I5/321

［1］	张辉, 刘林, 骆文远, 等. 椎体硬化成型和切除术治疗脊柱转移瘤的临床疗效对比分析［J］. 中华肿瘤防治杂志, 2013, 20(5): 374376.
［2］	Lee JY, Lim BG, Park HY, et al. Sufentanil infusion before extubation suppresses coughing on emergence without delaying extubation time and reduces postoperative analgesic requirement without increasing nausea and vomiting after desflurane anesthesia［J］. Korean J Anesthesiol, 2012, 62(6):512517. doi: 10.4097/kjae.2012.62.6.512.
［3］	Krause M, Breer S, Mohrmann B, et al. Influence of nontraumatic thoracic and lumbar vertebral fractures on sagittal spine alignmentassessed by radiationfree spinometry［J］. Osteoporos Int, 2013,24(6):18591868. doi: 10.1007/s001980122156x.
［4］	刘伟, 郑君涛, 马原, 等. 不同容量骨水泥用于经皮穿刺椎体成形术的疗效评价［J］. 中国矫形外科杂志, 2011, 19(16): 13941395.
［5］	Ha KY, Lee JS, Kim KW, et al. Percutaneous vertebroplasty for vertebral compression fractures with and without intravertebral clefts［J］. J Bone Joint Surg Br, 2006 ,88(5):629633.
［6］	Llanos RA, VianaTejedor A, Abella HR, et ai. Pulmonary and intracardiac cement embolism after a percutaneous vertebroplasty［J］. Clin Res Cardiol, 2013 ,102(5):395397. doi: 10.1007/s0039201305429.
［7］	Hostin R, Carr J, Gupta MC, et al. Importance of the peridural membrane in percutaneous vertebroplasty［J］. J Spinal Disord Tech, 2005,18(1):3439.
［8］	李松华，杨凯，申玉兰，等. Innova 3D技术指导经皮椎体成形穿刺路径：降低骨水泥渗透发生率［J］. 中国组织工程研究，2015，19(16):24732478.
［9］	黎一兵, 郝定均, 贺宝荣, 等. PKP 术后骨水泥形态分布对临床疗效影响分析［J］. 中国骨与关节损伤杂志, 2012, 27(11): 996998.
［10］	He D, Wu L, Sheng X, et al. Internal fixation with percutaneous kyphoplasty compared with simple percutaneouskyphoplasty for thoracolumbar burst fractures in elderly patients: a prospective randomizedcontrolled trial［J］. Eur Spine J， 2013 ，22(10):22562263. doi: 10.1007/s0058601329725.
［11］	陈建常, 梁景灏, 马在松. PKP 和PVP 单侧入路治疗老年骨质疏松性椎体压缩性骨折的疗效比较［J］. 中国矫形外科杂志, 2014, 22(8): 692695.
［12］	温晓阳，余凯龙，何东生，等. PKP与PVP治疗陈旧性骨质疏松行椎体压缩性骨折效果对比观察［J］. 山东医药，2016,56（42）：5961.
［13］	郭振鹏, 温国宏, 李小琴, 等. 单、双侧经皮椎体成形术治疗骨质疏松性椎体压缩骨折疗效比较［J］. 中国现代手术学杂志，2015,19（6）:439442.
［14］	石裕明，王炜昌，杨庆，等. 椎体裂隙征对经皮椎体后凸成形术疗效的影响［J］. 中国现代手术学杂志，2017,21（2）:131135.