ZHANG Yufeng.3D printing guild platein percutaneous endoscopic lumbar discectomy[J].Chinese Journal of Spine and Spinal Cord,2019,(5):444-448.
3D printing guild platein percutaneous endoscopic lumbar discectomy
Received:May 24, 2018  Revised:January 29, 2019
English Keywords:3D printing  Guide plate  Intervertebral foramen  Clinical application
Fund:南通市科技项目(MS22015121)
Author NameAffiliation
ZHANG Yufeng Orthopedic of Nantong University Hospital Branch, Nantong, 226000, China 
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English Abstract:
  【Abstract】 Objectives: To explore the application of 3D printing guild plate in percutaneous endoscopic lumbar surgery(PELD). Methods: From January 2016 to January 2017, 60 patients were treated with PELD in our hospital. The patients were randomly divided into two groups: observation group and control group, each group had 30 patients. The observation group was treated with PELD assisted by 3D printing guild plate, and the control group was treated by using simple PELD technique. The number of puncture times, X-ray fluoroscopy, operation time, intraoperative blood loss and postoperative complications were compared between the two groups. VAS scores(0-100) were performed before operation and at 1 day, 1 week and 1 month after operation. Oswestry dysfunction index(ODI) and modified Macnab were collected before operation and at 3 mouths follow-up after operation. Results: The number of puncture, the number of X-ray fluoroscopy, operation time, blood loss in the observation group(1.17±0.37, 2.33±0.75, 40.47±7.55) were all significantly lower than those in the control group(5.00±2.15, 10.63±3.77, 63.67±16.63), with the differences being statistically significant(P<0.01). The VAS score in the observation group(19.67±8.99) was significantly lower than that in the control group(32.00±9.21) on the first postoperative day, and the difference was statistically significant(P<0.05); there was no significant difference in the VAS score between the observation groups(13.17±10.94, 10.50±13.47) and the control group(16.00±11.62, 11.50±13.65) at 1 week and 1 month after operation(P>0.05); the ODI score in the observation group(13.20±9.86)% was lower than that in the control group(15.73±10.74)% in three months after operation, with no significant difference(P>0.05); the rate of excellent and good Macnab after surgery evaluation in the observation group(90.0%) was higher than that in the control group(86.7%), and the difference was not statistically significant(P>0.05). Conclusions: PELD assisted by 3D printing guild plate can reduce the number of puncture times, X-ray fluoroscopy, operation time, blood loss and improve function.
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