在椎创伤手术中使用三维 (3D) 打印指南模板的新兴证据:范围审查
Vikash Raj1, Aakash Jain2, Vishal Kumar3
1Orthopaedics, All India Institute of Medical Sciences, Deoghar, Deoghar, IND.
Cureus
|January 28, 2026
概括
与传统方法相比,用于椎骨折的三维打印 (3DP) 辅助手术显著减少了手术时间,血液损失和光镜. 这项技术有望提高复杂脊柱损伤的手术效率和患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 医疗技术 医疗技术 医学技术
背景情况:
- 椎骨折需要精确的手术固定.
- 传统的自由手脚螺丝放置通常会导致延长操作时间,增加血液流失和频繁的光镜检查.
- 三维打印 (3DP) 为患者提供特定的模板,以潜在地提高安全性和效率.
研究的目的:
- 进行范围审查,评估3DP辅助手术对椎骨折的传统方法的有效性.
- 综合有关手术时间,血液损失和光镜使用的证据.
主要方法:
- 遵守系统审查和元分析 (PRISMA) 2020年指南的首选报告项目.
- 搜索了PubMed,Embase,科学网和Scopus进行比较研究.
- 包括四项回顾性比较研究 (189名患者) 进行质量评估和随机效应元分析.
主要成果:
- 3DP辅助手术显著减少了手术时间 (平均差异:-32.3分钟),手术内流血 (平均差异:-121.6毫升) 和光镜频率 (平均差异:-3.8次).
- 在3DP组中,在12个月后观察到略低的疼痛得分.
- 确定了低到中等的异质性,没有显著的出版偏差.
结论:
- 与传统技术相比,3DP辅助的宫脊椎手术提高了手术效率,并减少了手术内负担.
- 这些发现支持3D打印指导模板在椎创伤中的可行性.
- 由于损伤模式的异质性,结果是假设生成的,应该谨慎地解释.
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