3D打印技术对髋臼骨折治疗效果影响Meta分析.docVIP

3D打印技术对髋臼骨折治疗效果影响Meta分析 　　[摘要] 目的 采用 Meta 分析?u价3D打印技术对髋臼骨折手术治疗效果的影响。方法 在CNKI、万方、维普、PubMed等数据库等利用计算机检索收集3D打印技术应用于髋臼骨折术前规划或术中导航的临床对照试验，选取时间为2017年3―9月。按照事先制定的纳入与剔除标准筛选相关文献，然后评价纳入研究的质量，提取有效数据资料，采用RevMan5.3软件进行Meta分析。观察指标包括骨折复位质量、髋关节功能和并发症等。结果 该研究共纳入13个临床对照试验研究，患者693例；3D技术组320例，常规组373例。Meta分析结果显示，3D技术组患者术后并发症发生率均小于常规组（OR=0.47，95%CI=0.29～0.75），而3D打印技术组在术后的骨折复位优良率（OR=2.13，95%CI=1.37～3.32）、髋关节功能优良率（OR=1.94，95%CI=1.21～3.11）方面均优于常规组。结论 髋臼手术中3D打印技术的应用能够降低并发症发生率，且能够提高髋臼骨折复位质量和术后髋关节功能。 　　[关键词] 髋臼骨折；3D打印技术；Meta分析 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）03（b）-0171-03 　　Meta Analysis of Treatment Effect of 3D Printing Technology on the Fracture of Acetabulum 　　ZHANG Yu-dong1， XIE Ding-ding2， WU Ren-yuan3， HE Yi1， TENG Fei1， ZHANG Lei4 　　1.Experimental Teaching Center， Department of Basic Surgery， Clinical College of Xuzhou Medical College， Xuzhou， Jiangsu Province， 221004 China；2.Department of Orthopedics， Municipal Hospital Affiliated to Xuzhou Medical University， Xuzhou， Jiangsu Province， 221004 China；3.Imaging College， Xuzhou Medical University， Xuzhou， Jiangsu Province， 221004 China；4.Department of Emergency， Affiliated Hospital of Xuzhou Medical University， Xuzhou， Jiangsu Province， 221004 China 　　[Abstract] Objective To study the meta analysis of treatment effect of 3D printing technology on the fracture of acetabulum. Methods The clinical control test in the preoperative plan and intraoperative navigation of fracture of acetabulum by the 3D printing technology collected from CNKI， Wanfang， Weipu， PubMed， and the retrieve time was March to September 2017， and the related literatures were screened according to the standards， and the quality was evaluated then and the effective data were extracted and the RevMan5.3 software was used for Meta analysis， and the observation indicators included the fracture resection quality， hip joint function and complication. Results 13 clinical control tests were included in the study， of 693 cases， there were 320 cases in the 3D t