三维成像技术联合精确定位导向器用于股骨颈骨折中临床价值.docVIP

三维成像技术联合精确定位导向器用于股骨颈骨折中的临床价值 　　[摘要] 目的 分析三维成像技术联合精确定位导向器在股骨?i骨折中的临床应用。 方法 选取我院150例股骨颈骨折患者为研究对象，其中2012年6～12月收治的50例股骨颈骨折患者为对照组，利用螺旋CT的三维成像技术观察骨的解剖外形并对骨折进行复位操作；2013年1～12月收治的100例股骨颈骨折患者为观察组，采用三维成像技术联合精确定位导向器进行治疗，两组患者采用不同方法模拟出骨折部位的移位情况及健侧部位骨骼形态的三维数据并做好统计，观察疗效。 结果 经不同治疗，观察组治疗优良率（94.00%）与对照组（70.00%）相比明显要高，差异有统计学意义（P0.05）；经随访，观察组患者骨折部位预后良好，需要实施二次手术的比例（3.00%）明显少于对照组（30.00%），差异有统计学意义（P0.05）；观察组患者日常生活、社会活动、抑郁和烦躁各方面评分均高于对照组，差异有统计学意义（P0.05）。 结论 三维成像技术联合精确定位导向器对骨折情况进行分析后，实施相应治疗，能够提高手术质量，减少二次手术比例，有利于骨折的早期愈合。 　　[关键词] 螺旋CT；三维成像技术；精确定位导向器；股骨颈骨折；骨折移位 　　[中图分类号] R687 [文献标识码] A [文章编号] 1673-9701（2017）15-0008-04 　　[Abstract] Objective To study the clinical application of three-dimensional imaging technique combined with precise positioning guide in femoral neck fracture. Methods A total of 150 patients with femoral neck fractures were selected as the research subjects in our hospital. Among them， 50 patients with femoral neck fractures admitted from June to December 2012 were assigned to the control group. The anatomical features of the bone were observed by the three-dimensional imaging technique of spiral CT and the fractures were given reduction. Another 100 patients with femoral neck fractures admitted from January to December 2013 were assigned to the observation group. Three-dimensional imaging technology combined with precise positioning guide was applied for the treatment. Different methods were applied to simulate the displacement of the fracture site and the three-dimensional data of osteological features of the healthy side. Statistical analysis was carried out， and the curative effect was observed. Results After different treatments， the excellent and good rate of treatment（94.00%） in the observation group was significantly higher than that in the control group （70.00%）， and the difference was statistically significant（P 　　[Key words] Spiral CT； Three-dimensional imaging technique； Precise positioning guide； Femoral neck fracture； Fracture displacement 　　股骨颈骨折是老年人常见的骨折。随