3D打印技术在蝶骨嵴脑膜瘤切除术中的应用价值

刘宇清; 何炳蔚; 黄绳跃; 杨智坤; 庄江惠; 陈明武; 陈寿; 廖正俭

doi:10.3969/j.issn.1000-8179.2017.22.439

3D打印技术在蝶骨嵴脑膜瘤切除术中的应用价值

doi: 10.3969/j.issn.1000-8179.2017.22.439

刘宇清^①,,
何炳蔚^②,
黄绳跃^①, ,,
杨智坤^②,
庄江惠^②,
陈明武^①,
陈寿^②,
廖正俭^①

①.
福建省立医院神经外科（福州市350001）
②.
福州大学机械工程及自动化学院

基金项目:

福建省自然科学基金项目 2015J01421

福建医科大学教育教学改革研究项目 J17011

福建省医学创新课题 2017-CX-14

详细信息

作者简介:
刘宇清专业方向为脑肿瘤、脑血管病、脑外伤的治疗，3D打印技术在神经外科的应用等。E-mail：2291510908@qq.com

通讯作者:
黄绳跃 huangshengyue@126.com

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- 文章访问数: 51
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- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2017-04-14
- 修回日期: 2017-11-13
- 刊出日期: 2017-11-30

Application value of 3D printing technology in the surgery of sphenoid ridge meningioma

LIU Yuqing^{①
,},
HE Bingwei^②,
HUANG Shengyue^{①
, ,},
YANG Zhikun^②,
ZHUANG Jianghui^②,
CHEN Mingwu^①,
CHEN Shou^②,
LIAO Zhengjian^①

①.
Department of Neurosurgery, Fujian Provincial Hospital, Provincial Clinical Medical College of Fujian Medical University, Fuzhou 350001, China
②.
School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou 350116, China

Funds:

the Natural Science Foundation of Fujian Province of China 2015J01421

Funded Project of Reform and Research on Education and Teaching of Fujian Medical University J17011

Medical Innovation Project of Science & Research Personnel Training Program on Health and Family Planning of Fujian Province 2017-CX-14

More Information

Corresponding author: Shengyue HUANG; E-mail: huangshengyue@126.com

摘要

摘要: 目的研究3D打印技术在蝶骨嵴脑膜瘤手术中的应用价值。方法选取福建省立医院2016年9月至2016年12月经头颅MRI及螺旋CT扫描发现的蝶骨嵴脑膜瘤患者5例，利用颅脑螺旋CT增强扫描的DICOM图像，针对颅骨、血管及肿瘤，分别进行数据信息的提取和重建，并在同一坐标系下实现装配融合，建立三维复合虚拟模型，再经3D打印技术制作出3D实体模型，于术前、术中参考。结果成功重建5例患者的蝶骨嵴脑膜瘤三维复合虚拟模型，并制作出实体解剖模型，模型清晰显示颅骨、肿瘤及其与毗邻血管的位置关系，将其应用于术前规划与术中参考，5例患者手术均获得成功。结论基于3D打印技术的蝶骨嵴脑膜瘤三维复合虚拟模型及其实体解剖模型在优化手术预案、提高肿瘤切除率、减少手术损伤等方面具有重要意义。
- 蝶骨嵴脑膜瘤 /
- 3D打印技术 /
- 三维虚拟模型 /
- 实体模型
Abstract: Objective To investigate the value of 3D printing technology in sphenoid ridge meningioma dissection. Methods By using craniocerebral spiral enhanced CT scan DICOM images, the skull, vessels, and tumor were extracted, reconstructed, and assembled and integrated in the same coordinate system. Then, we constructed a 3D virtual model and a 3D-printed entity model, which was applied for preoperation and postoperation. Results Virtual models of the brains of five patients were reconstructed successfully and 3D entity models were produced. The models expressed the relationship among tumors, adjacent blood vessels, and the important position of the nerve tissue. Then, the models were applied to the reference before surgery planning and after surgery. Five cases were successfully performed. Conclusion The use of the entity model of sphenoid ridge meningioma is important in optimizing operation plans, improving tumor resection, and reducing intraoperative bleeding.
- sphenoid ridge meningioma /
- 3D printing technology /
- virtual model /
- entity model

HTML全文

图 1 蝶骨嵴脑膜瘤患者颅脑螺旋CT增强扫描图像(绿色为肿瘤)

Figure 1. Cerebral helical CT enhanced scan images of the patients with sphenoid ridge meningioma (green areas represent tumors)

A. Sagittal plane; B. Coronal plane; C. Cross section

下载: 全尺寸图片幻灯片

图 2 重建的肿瘤、血管、颅骨三维虚拟模型

Figure 2. 3D virtual models of the reconstructed tumor, blood vessels, and skull

A. Tumor, B. Blood vessel and skull, C. Composite virtual model

下载: 全尺寸图片幻灯片

图 3 颅骨、血管、肿瘤3D打印实体解剖模型

Figure 3. 3D-printed entity anatomy model of the skull, blood vessels, and tumor

A, B. Vertical view; C. Side view

下载: 全尺寸图片幻灯片

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