3D打印技术在骨科临床应用中的感知研究

目的 了解医院骨科医师和管理者对3D打印技术在骨科应用的安全性、有效性、经济性和伦理性的感知。方法 对上海市4所三级综合性医院的所有骨科临床医师和相关管理部门的负责人或管理者进行问卷调查，并邀请4名骨科专家进行定性访谈。结果 3所被调查医院在骨科领域应用了3D打印技术，但使用量有限。被调查的医师和管理者认为：骨科3D打印主要优点是手术时间短、增加手术便利性和手术成功率高，主要缺点是费用高且价格昂贵、缺乏相关规范标准和整个过程相对复杂且耗时长。结论 3D打印技术在骨科临床应用的安全性和有效性需长期评价，骨科3D打印技术的临床应用需要规制。

Perception of 3D Printing in Orthopedics Department by Clinical Physicians and Managers

Objective To study the perceptions of the safety, effectiveness, economy and ethics of physicians and managers in Orthopedics on the application of 3D printings. Methods Questionnaire surveys were conducted among all orthopedic physicians and some related hospital administrators in 4 tertiary hospitals in Shanghai, and qualitative interviews were adopted in 4 orthopedic experts. Results 3 hospitals have applied 3D printing technology in Orthopedics, but the number of operations is limited. The advantages perceived by the surveyed physicians and managers are 3D printing in Orthopedics has shorter operation duration, makes operation convenience and has higher operation success rate. While the disadvantages include high cost and price, lack of standards and professional norms, and process complexity and time consuming. Conclusion Clinical evaluation on safety and effectiveness of 3D printing in Orthopedics needs long term follow up. The regulation needs to be built up for rational use of 3D printing in Orthopedics.