[1]张才铭,高晓盈,吴祖培,等. 3D打印重度肋骨骨折模型的临床应用[J].中国医学物理学杂志,2018,35(8):983-987.[doi:DOI:10.3969/j.issn.1005-202X.2018.08.022]
　ZHANG Caiming,GAO Xiaoying,WU Zupei,et al. Clinical application of three-dimensional printed severe rib fracture model[J].Chinese Journal of Medical Physics,2018,35(8):983-987.[doi:DOI:10.3969/j.issn.1005-202X.2018.08.022]
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 3D打印重度肋骨骨折模型的临床应用()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
35卷
期数:
2018年第8期
页码:
983-987
栏目:
生物材料与力学
出版日期:
2018-08-20

文章信息/Info

Title:
 Clinical application of three-dimensional printed severe rib fracture model
文章编号:
1005-202X（2018）08-0983-05
作者:
 张才铭1; 高晓盈2; 3; 吴祖培1; 蒋志坚1; 陈宇宁1; 黄健东1; 周路路1
 1.广州中医药大学顺德医院外二科， 广东 顺德 528300； 2.汕头大学医学院， 广东 汕头 515000； 3.汕头大学医学院附属肿瘤医院， 广东 汕头 515000
Author(s):
 ZHANG Caiming1;  GAO Xiaoying2;  3;  WU Zupei1;  JIANG Zhijian1;  CHEN Yuning1;  HUANG Jiandong1;  ZHOU Lulu1
 1. the Second Department of Surgery, Shunde Hospital, Guangzhou University of Chinese Medicine, Shunde 528300, China; 2. Shantou University Medical College, Shantou 515000, China; 3. Cancer Hospital of Shantou University Medical College, Shantou 515000, China
关键词:
 ; 3D打印; 三维重建; 肋骨骨折; 内固定; 肋骨接骨器
Keywords:
 ; Keywords: three-dimensional printing;  three-dimensional reconstruction;  rib fracture;  internal fixation;  rib connectors
分类号:
R312；R683.1
DOI:
DOI:10.3969/j.issn.1005-202X.2018.08.022
文献标志码:
A
摘要:
 目的：探讨3D打印重度肋骨骨折模型的临床应用。 方法：对9例重度肋骨骨折患者，共50处肋骨骨折，进行3D重建，采用3D打印技术，打印1:1物理模型，并测量肋骨骨折处高度及弯曲度，选择合适的接骨器型号进行体外模拟复位和内固定术。最后，根据3D打印模型及数据参数指导临床内固定术。同时，利用3D打印模型进行临床教学及医患沟通。 结果：（1）3D打印结果：3D重建及3D打印模型均获得清晰的立体解剖结构，3D打印模型更直观真实。（2）根据3D打印模型测量的数据参数选取肋骨接骨器，均完全符合目标肋骨的要求。（3）3D打印模型有助于临床教学及医患沟通。 结论：3D打印肋骨骨折模型有助于准确诊断重度肋骨骨折，有助于合适接骨器的准备及术中操作导航，从而减少手术创伤；通过3D打印模型，有助于医患沟通和临床教学。
Abstract:
 Abstract: Objective To explore the application of three-dimensional (3D) printed severe rib fracture model in clinic. Methods 3D printing technology was used to perform 3D reconstruction of 50 fractured ribs in 9 patients with severe fractured ribs, and print them to 1:1 physical model. Then the height and curvature of the fractured ribs were measured for selecting the appropriate bone connectors to simulate fracture reduction in vitro and perform internal fixation. Finally, the 3D printed model and the obtained data were used to guide the clinical internal fixation. Meanwhile, the 3D printed model was applied for clinical teaching and doctor-patient communication. Results 3D printed results showed that the clear 3D anatomical structures could be obtained with the use of 3D reconstruction or 3D printed model, and the 3D printed model was more intuitive and real. The selected rib connectors based on the data measured by the 3D printed model completely met the requirements of the target rib. 3D printed model was conducive to clinical teaching and doctor-patient communication. Conclusion 3D printed rib fracture model is useful for the accurate diagnosis of severe rib fracture and contributes to the preparation of proper bone connectors and intraoperative navigation, reducing surgical traumas. Moreover, 3D printed model is helpful for doctor-patient communication and clinical teaching.

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备注/Memo

备注/Memo:
 【收稿日期】2018-03-17
【基金项目】广东佛山市科技计划项目（2017AB003743）
【作者简介】张才铭，医学硕士，副主任医师，E-mail: zhcm808@126.com；高晓盈，在读硕士，E-mail: 1576659029@qq.com。张才铭与高晓盈为共同第一作者。
更新日期/Last Update: 2018-07-26