摘要
目的研究3D打印技术应用于骨科手术的效果。方法以关键词“3D打印”和“骨”检索数据库,按预设的纳入排除标准获得文献,并提取手术指标、安全性指标和有效性指标的数据用于meta分析。结果共有78篇文献(84项研究)被纳入分析,研究对象4290人次。3D打印组膝关节、髋关节和其他组的研究样本量低于对照组,5个亚组中3D打印组的手术时间、术中出血量、术中射线暴露次数(除膝关节外的4个亚组)均少于对照组,而且3D打印组的术后并发症发生率低于对照组,手术结果优良比例和术后功能评分均高于对照组。结论3D打印技术应用于骨科手术在手术指标、安全性指标和有效性指标方面均有优势,特别是在减少术中射线暴露次数和减少术后并发症方面效果显著,具有重要的临床意义。
Objective To study the effects of 3D printing technology in orthopedic surgery.Methods The key words“3D printing”and“bone”were used to search the databases,and the literature was obtained according to the preset inclusion and exclusion criteria,and the data of surgical indicators,safety indicators and efficacy indicators were extracted for metaanalysis.Results A total of 78 literatures(84 studies)were included in the analysis,with 4290 study subjects.The sample size of the knee,hip and others in the 3D printed group was lower than that in the control group.In the 5 subgroups,the operation time,intraoperative blood loss,and intraoperative radiation exposure(in the 4 subgroups except the knee joint)of the 3D printing group were less than those of the control group.Moreover,the incidence of postoperative complications in the 3D printing group was lower than that in the control group,and the excellent ratio of surgical results while postoperative functional scores were higher than those in the control group.Conclusion The application of 3D printing technology in orthopedic surgery shows advantages in surgical indicators,safety indicators and effectiveness indicators,especially in reducing the number of intraoperative radiation exposure and postoperative complications,which has important clinical significance.
作者
孙果梅
刘群
刘永章
SUN Guomei;LIU Qun;LIU Yongzhang(Department of Quality Management,Center for Certification and Evaluation,Shanghai Food and Drug Administration,Shanghai 200020,China;Department of Medical Device System,Center for Certification and Evaluation,Shanghai Food and Drug Administration,Shanghai 200020,China)
出处
《中国医疗设备》
2020年第4期142-148,共7页
China Medical Devices
基金
国家重点研发计划项目(2017YFB1104100,2017YFB1104105)。
