目的:探讨快速康复管理路径在3D打印辅助手术治疗骨盆、髋臼骨折中的应用效果。方法:回顾性分析2017年7月至2019年7月期间南方医科大学第三附属医院骨科应用3D打印技术辅助腹直肌外侧入路治疗的98例骨盆、髋臼骨折患者资料。根据是否采用快速康复管理路径分为两组：观察组49例，男29例，女20例；年龄为（38.9±10.2）岁，采用快速康复管理路径实施围手术期管理。对照组49例，男33例，女16例；年龄为（37.9±9.9）岁，采用常规围手术期护理。比较两组患者的术后疼痛视觉模拟评分（VAS）、住院时间、并发症发生率、末次随访时患髋功能及满意度等。结果:两组患者术前一般资料的比较差异均无统计学意义（n P>0.05），具有可比性。观察组患者的并发症发生率（8.2%，4/49）显著低于对照组患者（46.9%，23/49），差异有统计学意义（n P< 0.05）。观察组患者术前、术后24 h、术后36 h疼痛VAS评分[（4.1±1.2）、（3.4±1.1）、（1.6±0.9）分]显著低于对照组患者[（6.4±1.1）、（5.2±1.2）、（3.6±1.2）分]，住院时间[（15.9±2.2）d]显著长于对照组患者[（23.0±2.9）d]，差异均有统计学意义（n P0.05）。观察组患者的满意度（99.7%，635/637）高于对照组患者（84.6%，539/637），差异有统计学意义（n P0.05), indicating comparability. The complication incidence in the observation group (8.2%, 4/49) was significantly lower than that in the control group (46.9%, 23/49) (n P< 0.05). The VAS scores at preoperation and 24 h and 36 h after operation (4.1±1.2, 3.4±1.1 and 1.6±0.9) were significantly lower in the observation group than in the control group (6.4±1.1, 5.2±1.2 and 3.6±1.2) (n P<0.05); the length of hospital stay (15.9 d ± 2.2 d) was significantly longer in the observation group than in the control group (23.0 d ± 2.9 d) (n P0.05). The satisfaction rate of the patients in the observation group (99.7%, 635/637) was significantly higher than that in the control group (84.6%, 539/637) (n P<0.05).n Conclusion:Compared with traditional perioperative care, Enhanced Recovery After Surgery Management Pathway may lead to good clinical outcomes when it is applied in the 3D printing-assisted surgery for pelvic and acetabular fractures.