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Study on the trauma and stress level of the pelvic fracture treated by 3D printing combined with lateral rectus abdominis approach surgery

机译:3D打印联合腹直肌入路手术治疗骨盆骨折的创伤和应力水平研究

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Objective: To study the trauma and stress level of the pelvic fracture treated by 3D printingcombined with lateral rectus abdominis approach surgery. Methods: A total of 50 patientswith pelvic fractures who were treated in the hospital between July 2015 and Jun 2017 werecollected anddivided into control group (n=25) and observation group (n=25) by randomnumber table method. Control group underwent lateral rectus abdominis approach surgery,and the observation group received 3D printingcombined with lateral rectus abdominisapproach surgery. The differences in perioperative inflammatory response, coagulationfunction and stress degree were compared between the two groups. Results: 24 h beforesurgery, the differences in inflammatory response, coagulation function and stress degree werenot statistically significant between the two groups. 24 h after surgery, serum IL-1, TNF-α,CRP, FIB, D-D, Cor, AngⅡ and NE levels of both groups of patients were higher than those24h before surgery, and serum IL-1, TNF-α, CRP, FIB, D-D, Cor, AngⅡ and NE levels ofobservation group were lower than those of control group. Conclusion: 3D printing combinedwith lateral rectus abdominis approach surgery can effectively reduce the degree of surgicaltrauma and reduce the systemic stress response in patients with pelvic fracture.
机译:目的:研究3D打印结合腹直肌外侧入路手术治疗骨盆骨折的创伤和应力水平。方法:收集2015年7月至2017年6月在医院就诊的50例骨盆骨折患者,采用随机数表法将其分为对照组(n = 25)和观察组(n = 25)。对照组进行腹直肌外侧入路手术,观察组3D打印结合腹直肌外侧入路手术。比较两组围手术期炎症反应,凝血功能和应激程度的差异。结果:术前24 h,两组炎症反应,凝血功能和应激程度差异无统计学意义。术后24h两组患者血清IL-1,TNF-α,CRP,FIB,DD,Cor,AngⅡ,NE水平均高于术前24h,血清IL-1,TNF-α,CRP,观察组FIB,DD,Cor,AngⅡ和NE水平低于对照组。结论:3D打印结合腹直肌外侧入路手术可以有效降低骨盆骨折患者手术创伤的程度,降低全身压力反应。

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