數(shù)字化導(dǎo)航模板在脊柱畸形矯正術(shù)中的應(yīng)用效果

葉書熙 陳榮春 游輝 郭朝陽

摘要：目的 ?研究數(shù)字化導(dǎo)航模板在脊柱畸形矯正術(shù)中的臨床應(yīng)用。方法 ?選擇2016年5月～2018年5月在我院擬行手術(shù)治療的脊柱畸形患者40例，隨機分為觀察組與對照組，各20例。對照組用椎弓根釘內(nèi)固定法進行矯形，觀察組先進行個性化數(shù)字導(dǎo)航模板設(shè)計，完成術(shù)前規(guī)劃及虛擬手術(shù)，再采用椎弓根釘內(nèi)固定法矯形。比較兩組手術(shù)時間、術(shù)中出血量、Cobb角矯正率及術(shù)后并發(fā)癥發(fā)生率。結(jié)果 ?觀察組Cobb角矯正率為84.20%，高于對照組的70.07%，差異有統(tǒng)計學(xué)意義（P<0.05）;觀察組手術(shù)時間、術(shù)中出血量少于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）;觀察組術(shù)后并發(fā)癥發(fā)生率低于對照組（0 vs 50.00%），差異有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論 ?數(shù)字化導(dǎo)航模板應(yīng)用于脊柱畸形矯正術(shù)中效果確切，可有效提高Cobb角的矯正率，減少手術(shù)時間以及術(shù)中出血量，降低并發(fā)癥的發(fā)生。

關(guān)鍵詞：數(shù)字化導(dǎo)航模板;脊柱畸形;并發(fā)癥

中圖分類號：R687.3 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 文獻標識碼：A ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? DOI：10.3969/j.issn.1006-1959.2019.20.027

文章編號：1006-1959（2019）20-0098-03

Application Effect of Digital Navigation Template in Correction of Spinal Deformity

YE Shu-xi，CHEN Rong-chun，YOU Hui，GUO Chao-yang

Abstract：Objective ?To study the clinical application of digital navigation templates in the correction of spinal deformity. Methods ?40 patients with spinal deformity who underwent surgery in our hospital from May 2016 to May 2018 were randomly divided into observation group and control group， 20 cases each. The control group was orthopedic with pedicle screw fixation. The observation group first designed the personalized digital navigation template， completed preoperative planning and virtual surgery， and then used pedicle screw fixation to correct the shape. The operation time， intraoperative blood loss， Cobb angle correction rate and postoperative complication rate were compared between the two groups. Results ?The Cobb angle correction rate was 84.20% in the observation group， which was higher than that in the control group 70.07%，the difference was statistically significant （P<0.05）. The operation time and intraoperative blood loss were lower in the observation group than in the control group，the difference was statistically significant （P<0.05）.The incidence of postoperative complications in the observation group was lower than that in the control group （0 vs 50.00%），the difference was statistically significant （P<0.05）. Conclusion ?The digital navigation template is effective in the correction of spinal deformity， which can effectively improve the correction rate of Cobb angle， reduce the operation time and intraoperative blood loss， and reduce the occurrence of complications.

Key words：Digital navigation template;Spinal deformity;Complications