电邮这篇文章 使用具备可视化控制功能的新型个性化导向模板评估在儿童先天性脊柱畸形中的应用效果
- 作者: Toriya V.G.1, Vissarionov S.V.1, Pershina P.А.2
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隶属关系:
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- 期: 卷 12, 编号 4 (2024)
- 页面: 473-480
- 栏目: New technologies in trauma and orthopedic surgery
- URL: https://ogarev-online.ru/turner/article/view/282517
- DOI: https://doi.org/10.17816/PTORS641742
- ID: 282517
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详细
背景。在治疗儿童先天性脊柱畸形时，使用个性化的外科导向模板安装椎弓根螺钉能够显著提高手术的精准性和安全性。
研究目的。开发并对比分析一种新型外科导向模板的应用效果，该模板在安装椎弓根螺钉时具备可视化控制功能，适用于伴有胸廓畸形的儿童先天性脊柱畸形患者。
材料与方法。本研究纳入了2022年6月至2023年6月接受外科治疗的30名伴有先天性脊柱和胸廓畸形的患者。分组方法：实验组（15名）- 使用新型导航模板；对照组（15名）- 采用传统“自由手” 技术。评估方法：术后通过计算机断层扫描（CT）数据，使用S.D. Gertzbein评分量表评估螺钉植入的准确性；数据分布正态性通过Shapiro–Wilk检验验证；两组结果通过独立样本t检验进行比较，统计显著性设为p < 0.05。
结果。实验组（新型导航模板）：97.7%的螺钉无偏差（Grade 0）；2.3%的螺钉偏差不超过2毫米（Grade I）；无出现超过2毫米偏差的螺钉（Grade II及以上）；无并发症报告。对照组（“自由手” 技术）：89.7%的螺钉无偏差（Grade 0）；7.5%的螺钉偏差在2毫米以内（Grade I）；2.8%的螺钉偏差超过2毫米（Grade II及以上）。
结论。新型个性化导航模板具备可视化控制功能，可显著提高椎弓根螺钉植入的精准性，减少偏差，且未导致并发症。这一工具在治疗先天性脊柱畸形的临床实践中表现出良好的可靠性和便捷性， 具有广阔的应用前景。
作者简介
Vakhtang G. Toriya
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
编辑信件的主要联系方式.
Email: vakdiss@yandex.ru
ORCID iD: 0000-0002-2056-9726
SPIN 代码: 1797-5031
俄罗斯联邦, Saint Petersburg
Sergey V. Vissarionov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
SPIN 代码: 7125-4930
MD, PhD, Dr. Sci. (Medicine), Professor, Corresponding Member of the RAS
俄罗斯联邦, Saint PetersburgPolina А. Pershina
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: polinaiva2772@gmail.com
ORCID iD: 0000-0001-5665-3009
SPIN 代码: 2484-9463
MD, PhD Student
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