中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (39): 7370-7374.doi: 10.3969/j.issn.2095-4344.2012.39.030

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

数字及逆向工程技术在复杂骨科应用进展

曹振华1，2，闫金玉1，银和平1，张元智3，李树文1，白 明1，杜志才1，孟格栋2   

  1. 1内蒙古医学院第二附属医院骨科，内蒙古自治区呼和浩特市 010030
    2内蒙古医学院，内蒙古自治区呼和浩特市 010059
    3内蒙古医学院附属医院骨科，内蒙古自治区呼和浩特市 010059
  • 收稿日期:2012-02-16 修回日期:2012-04-21 出版日期:2012-09-23 发布日期:2012-09-23
  • 作者简介:曹振华★，男，1981年生，内蒙自治区呼和浩特市人，汉族，2012内蒙古医科大学毕业，硕士，主治医师，主要从事微创脊柱外科及骨科康复的研究。 caozh1980@126.com

Application of digital technology and reverse engineering technology in complex orthopaedic surgery

Cao Zhen-hua1, 2, Yan Jin-yu1, Yin He-ping1, Zhang Yuan-zhi3, Li Shu-wen1, Bai Ming1, Du Zhi-cai1, Meng Ge-dong2   

  1. 1Department of Orthopedics, Second Affiliated Hospital of Inner Mongolia Medical College, Hohhot 010030, Inner Mongolia Autonomous Region, China
    2Inner Mongolia Medical College, Hohhot 010059, Inner Mongolia Autonomous Region, China
    3Department of Orthopedics, Affiliated Hospital of Inner Mongolia Medical College, Hohhot 010059, Inner Mongolia Autonomous Region, China
  • Received:2012-02-16 Revised:2012-04-21 Online:2012-09-23 Published:2012-09-23
  • About author:Cao Zhen-hua★, Master, Attending physician, Department of Orthopedics, Second Affiliated Hospital of Inner Mongolia Medical College, Hohhot 010030, Inner Mongolia Autonomous Region, China; Inner Mongolia Medical College, Hohhot 010059, Inner Mongolia Autonomous Region, China caozh1980@126.com

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719

被引次数

9

摘要：

背景：医学数据可视化技术的快速发展及不断对医学领域地渗透，尤其使脊柱外科在诊断和治疗上发生了根本性地改变，朝着“精确化、个性化、微创化”方向发展，已成为临床骨科治疗中不可或缺的重要手段。
目的：通过对数字技术在复杂骨科应用进展，明确研究突破口。
方法：由第一作者在PubMed数据库、万方数据库、维普数据、中国知网库检索，时间范围为1990/2011。检索词为“个性化的定位导航模板，数字解剖模型，螺钉内固定术，逆向工程技术，快速成型技术”。纳入标准为导航模板制备工艺及技术的研究、有限元相关理论的研究、实验及临床应用。排除标准为与此文目的无关、较陈旧的文献和重复同类研究。
结果与结论：利用数字化技术重建的导航模板为骨科螺钉内固定的定位、定向固定提供了一种新的方法。通过数字化重建技术可以制作个体化导航模板，将模板紧密贴合于相应的解剖结构上进行导航穿刺，即可完成对术区的准确定位和定向。对复杂骨科手术，尤其是解剖结构畸形变的患者有着不可替代的意义。为临床手术设计奠定良好的基础，提高准确性和安全性。

关键词: 个性化导航模板, 逆向工程技术, 快速成型技术, 数字有限元, 螺钉内固定

Abstract:

BACKGROUND: The rapid development of medical data visualization technology and constantly permeate to the medical field make a fundamental change in diagnosis and treatment of orthopedics. The changes are developing toward the “precision, individuality and minimally invasive”, and the medical data visualization technology has become an important means in the clinical orthopaedic surgery.
OBJECTIVE: To determine the breakthrough of research by analyzing the application of digital technology in complex orthopaedic surgery.
METHODS: The PubMed database, Wanfang database, VIP database and CNKI database from 1990 to 2011 were searched by the first author with the key words of “personalized navigation template, digital anatomical models, screw internal fixation, reverse engineering technology, rapid prototyping technology”. The literatures were related to the research on the navigation template preparation process and technology, the study of finite element theory, and the experimental and clinical applications. The old and repetitive literatures were excluded as well as the literatures have nothing to do with this article.
RESULTS AND CONCLUSION: The navigation template reconstructed by digital technology provides a new method for orientation and directional fixation of orthopaedics bolts internal fixation. The individual navigation templates can be made by the digital reconstruction technique, and closely stick to the corresponding anatomical structure for the navigation puncture, then the accurate positioning and orientation are completed, which has a irreplaceable significance for the complex orthopaedic surgery, especially the anatomical structure deformity patients. It lays a good foundation for clinical surgery design and improves accuracy and safety of the surgery.

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