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[1]劉伯齡 張 煌 陳齊勇 王華鋒 劉少強 陳 偉 梁珪清.3D打印技術輔助下L5S1椎間盤突出癥椎間孔鏡治療的臨床研究[J].福建醫(yī)藥雜志,2020,42(03):9-13.
　LIU Boling,ZHANG Huang,CHEN Qiyong,et al.3D printed skeletal model in the treatment of L5S1 lumbar intervertebral disc herniation by percutaneous spinal endoscopic lumbar discectomy[J].FUJIAN MEDICAL JOURNAL,2020,42(03):9-13.
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3D打印技術輔助下L5S1椎間盤突出癥椎間孔鏡治療的臨床研究()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期數(shù):
2020年03期
頁碼:
9-13
欄目:
臨床研究
出版日期:
2020-07-04

文章信息/Info

Title:
3D printed skeletal model in the treatment of L5S1 lumbar intervertebral disc herniation by percutaneous spinal endoscopic lumbar discectomy
文章編號:
1002-2600(2020)03-0009-05
作者:
劉伯齡 張 煌 陳齊勇 王華鋒 劉少強 陳 偉 梁珪清
廈門大學附屬福州第二醫(yī)院脊柱外科(福州 350007)
Author(s):
LIU Boling; ZHANG Huang;  CHEN Qiyong;  WANG Huafeng;  LIU Shaoqiang;  CHEN Wei; LIANG Guiqing.
Department of Spine Surgery, Fuzhou Second Hospital Affiliated to Xiamen University,Fuzhou,Fujian 350007,China
關鍵詞:
3D打印;  腰椎間盤突出癥;  椎間孔鏡;  L5S1
Keywords:
3D printed technology;  lumbar intervertebral disc herniation;  spinal endoscopic;  L5S1
分類號:
R683.2
文獻標志碼:
B
摘要:
目的 探討3D打印骨骼模型在經(jīng)皮椎間孔鏡髓核摘除術治療L5S1腰椎間盤突出癥中的可行性及臨床效果。方法 回顧性分析我院椎間盤突出癥患者50例,將患者隨機分為觀察組和對照組,各25例。觀察組采用3D打印骨骼模型輔助經(jīng)皮椎間孔鏡髓核摘除術,術前分析髓核突出部位及硬膜和神經(jīng)根受壓情況,規(guī)劃穿刺路線,并模擬操作; 對照組常規(guī)經(jīng)皮椎間孔鏡髓核摘除術,記錄兩組在術前、術后第1天腿痛疼痛視覺模擬評分(VAS),并對比兩組患者術中透視次數(shù)、手術時間及術后3個月隨訪時腰椎Oswestry功能障礙指數(shù)。結果 兩組術后腿痛VAS評分較術前降低,差異有統(tǒng)計學意義(P<0.05); 觀察組與對照組的透視次數(shù)分別為(7.5±1.6)次、(13.9±1.4)次,兩組比較差異有統(tǒng)計學意義(P<0.05); 觀察組與對照組的手術時間分別為(72.2±8.5)min、(95.2±10.5)min,差異有統(tǒng)計學意義(P<0.05)。結論 采用3D打印骨骼模型術前可規(guī)劃穿刺路線,模擬穿刺可減少術中透視次數(shù)與手術時間,對經(jīng)皮椎間孔鏡技術在L5S1椎間盤突出癥中的應用具有指導意義。
Abstract:
Objective To explore the feasibility and clinical effect of 3D printed skeletal model in the treatment of L5S1 lumbar intervertebral disc herniation by percutaneous spinal endoscopic lumbar discectomy.Methods A retrospective analysis of 50 patients admitted from August 2017 to December 2019, including 28 males and 22 females; aged 21 to 62, with an average of(42.5±0.5)years old, using a random number table method, randomly divided into test group and controls group, the test group used 3D printed skeletal model to assist percutaneous spinal endoscopic lumbar discectomy, preoperatively plan the puncture route and simulate the operation; the control group use traditional percutaneous spinal endoscopic lumbar discectomy, two groups underwent visual analogue scale(VAS)before and after the operation, and times of fluoroscopy, operation time, and lumbar oswestry dysfunction index at 3-month follow-up.Results The VAS score of postoperative leg pain in the two groups was lower than that before operation, The difference was statistically significant; The times of fluoroscopy in the experimental group and the control group were(7.5±1.6)and(13.9±1.4), the difference between the two groups was statistically significant(P<0.05); the operation time was(72.2±8.5)and(95.2±10.5), and the difference was statistically significant.(P<0.05).Conclusion Using 3D printing model, you can plan the puncture route, simulate the operation, reduce fluoroscopy and the operation time, and have the guidance of the application of percutaneous spinal endoscopic lumbar discectomy in L5S1 significance.

參考文獻/References:

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備注/Memo

備注/Memo:
基金項目:2017年福州市衛(wèi)生計生系統(tǒng)科技計劃項目(2017-S-wt3)
更新日期/Last Update: 2020-07-04