实用医学杂志 ›› 2021, Vol. 37 ›› Issue (14): 1883-1886.doi: 10.3969/j.issn.1006⁃5725.2021.14.022

• 新技术新方法 • 上一篇    下一篇

3D打印技术在婴幼儿狭颅症手术中的临床应用

秦齐, 冯孟昭, 王鹏飞, 董辉


  

  1. 郑州大学第三附属医院神经外科(郑州 450000)


  • 出版日期:2021-07-25 发布日期:2021-07-25
  • 通讯作者: 董辉 E⁃mail:qq19936868@163.com

Clinical application of 3D printing technology in infantile craniostenosis surgery  

QIN Qi,FENG Mengzhao, WANG Pengfei,DONG Hui.    

  1. Department of Neurosurgery,the Third Affiliated Hospital of Zhengzhou University Zhengzhou 450000,China

  • Online:2021-07-25 Published:2021-07-25
  • Contact: DONG Hui E⁃mail:qq19936868@163.com

摘要:

目的 探讨 3D 打印技术在婴幼儿狭颅症手术中的临床应用价值。方法 收集婴幼儿狭颅 症患者 60 例,分为 3D 打印组 30 例,对照组 30 例。3D 打印组术前应用 3D 打印技术重建颅骨模型,辅助额 眶带前移或后缩,指导狭颅症手术治疗。对照组术前采用常规影像学检查,并由同一术者完成手术。比 较两组患者手术疗效。结果 术后 3 个月随访时,3D 打印组中的短头畸形头颅指数(cephalic index,CI)为 80.70 ± 1.10),对照组为(89.30 ± 4.50),两者比较差异具有统计学意义。3D 打印组中的舟状头畸形 CI 78.30 ± 1.40),对照组为(69.00 ± 4.20),两者比较差异具有统计学意义。3D 打印组中的斜头畸形颅顶不 对称指数(anial vault asymmetry index,CVAI)为(1.60 ± 0.80)%,对照组为(5.60 ± 1.00)%,两者比较差异具 有统计学意义。结论 3D 打印辅助额眶带前移或后缩技术指导狭颅症手术,能够显著提高各类婴幼儿狭 颅症手术治疗效果,效果优于传统手术,值得临床推广。

关键词:

3D 打印技术, 婴幼儿, 狭颅症, 手术, 颅缝早闭症

Abstract:

Objective To explore the clinical value of 3D printing technology in infantile craniostenosis surgery. Methods A total of 60 cases with infantile craniostenosis were collected and randomly divided into 3D printing group and control group with 30 cases in each group. In 3D printing group,3D printing technology was applied to reconstruct the skull model before operation,assist the frontal orbital girdle to move forward or retracted and guide the surgical treatment of stenosis. Routine imaging examination was performed in the control group before the operation,and the operation was completed by the same operator. Surgical efficacy of the two groups was com⁃ pared. Results At the 3⁃month follow⁃up,the cephalic index(CI)of brachycephaly in the 3D printing group was (80.70 ± 1.10)and that in the control group was(89.30 ± 4.50). The CI of scaphoid head in the 3D printing group was(78.30 ± 1.40)and that in the control group was(69.00 ± 4.20). The anial vault asymmetry index(CVAI)in the 3D printing group was(1.60 ± 0.80)%,and that in the control group was(5.60±1.00)% . All the differences were statistically significant. Conclusion 3D printing⁃assisted frontal orbital girdle advancement or retraction tech⁃ nology in the operation of craniotomy can significantly improve the surgical treatment of various infantile cranioste⁃ nosis,and its effect is better than that of traditional surgery. It is worthy of clinical promotion.

Key words:

3D printing technology, infantile craniostenosis, cranial stenosis, surgery, craniosyn?ostosis