3d打印椎弓根螺钉导航导板在严重脊柱侧凸的临床分析

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1、分类号：学号：2012188泰山医学院硕士学位论文论文题目：3D打印椎弓根螺钉导航导板在严重脊柱侧凸的临床研究作者姓名：李鑫学科、专业：外科学学位类型：专业学位型研究方向：骨科指导教师：张强教授入学时间：2012年9月论文工作起止时间：2014年4月~2015年4月1万方数据目录中文摘要·············································································································1英文摘要·······

2、······································································································3符号说明·············································································································5前言··············································

3、···································································6材料与方法·········································································································9结果····················································································

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6、······································································33攻读学位期间发表的学术论文······································································34原创性声明·······································································································

7、35万方数据泰山医学院硕士学位论文3D打印椎弓根螺钉导航导板在严重脊柱侧凸的临床研究研究生：李鑫专业：外科学导师：张强教授中文摘要目的通过研究实施3D打印椎弓根螺钉导航导板治疗严重脊柱侧凸的临床应用效果，探讨3D打印椎弓根导航导板技术在严重脊柱侧凸手术中的作用和意义。方法选取2010-2013年首都医科大学附属北京地坛医院骨科收治的8例严重脊柱侧凸患者作为导板组，其中男5例，女3例，年龄范围9~23岁（平均18岁），其中包括：先天性脊柱侧凸5例，特发性脊柱侧凸3例，4例患者为再次手术治疗。术前脊柱侧凸Cobb角平均为91°(

8、70°～125°)，后凸Cobb角平均为65°(45°～95°)，术前Frankel分级:C级1例，D级1例，E级6例，其中1例伴有膀胱括约肌功能障碍，5例伴有较为严重的胸腰背部疼痛。选择未做导航导板的8例脊柱侧凸患者作为对照组。对导板组患者进行脊柱薄层CT断层扫描，以DICOM格式保存原