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三维打印模型在造口术患者中的应用价值

Usefulness Of Three-Dimensional Printing Models for Patients with Stoma Construction.

作者信息

Tominaga Tetsuro, Takagi Katsunori, Takeshita Hiroaki, Miyamoto Tomo, Shimoda Kozue, Matsuo Ayano, Matsumoto Keitaro, Hidaka Shigekazu, Yamasaki Naoya, Sawai Terumitsu, Nagayasu Takeshi

机构信息

Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan.

Department of Medical Engineering Hybrid Professional Development Center, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan.

出版信息

Case Rep Gastroenterol. 2016 Apr 11;10(1):57-62. doi: 10.1159/000442663. eCollection 2016 Jan-Apr.

Abstract

The use of patient-specific organ models in three-dimensional printing systems could be helpful for the education of patients and medical students. The aim of this study was to clarify whether the use of patient-specific stoma models is helpful for patient education. From January 2014 to September 2014, 5 patients who underwent colorectal surgery and for whom a temporary or permanent stoma had been created were involved in this study. Three-dimensional stoma models and three-dimensional face plates were created. The patients' ages ranged from 59 to 81 years. Four patients underwent stoma construction because of rectal cancer, and 1 underwent stoma construction because of colon stenosis secondary to recurrent cancer. All patients were educated about their stoma and potential stoma-associated problems using three-dimensional stoma models, and all practiced cutting face plates using three-dimensional face plates. The models were also used during medical staff conferences to discuss current issues. All patients understood their problems and finally became self-reliant. The recent availability of three-dimensional printers has enabled the creation of many organ models, and full-scale stoma and face plate models are now available for patient education on cutting an appropriately individualized face plate. Thus, three-dimensional printers could enable fewer skin problems than are currently associated with daily stomal care.

摘要

在三维打印系统中使用患者特异性器官模型可能有助于患者和医学生的教育。本研究的目的是阐明使用患者特异性造口模型是否有助于患者教育。2014年1月至2014年9月,5例接受结直肠手术并已创建临时或永久性造口的患者参与了本研究。创建了三维造口模型和三维面板。患者年龄在59至81岁之间。4例患者因直肠癌接受造口术,1例因复发性癌症继发结肠狭窄接受造口术。所有患者均使用三维造口模型接受了有关其造口及潜在造口相关问题的教育,并且所有人都练习了使用三维面板切割面板。这些模型还在医务人员会议期间用于讨论当前问题。所有患者都了解了自己的问题并最终变得自立。三维打印机的近期可用性使得能够创建许多器官模型,并且现在有全尺寸的造口和面板模型可用于患者关于切割适当个体化面板的教育。因此,三维打印机可能会减少目前与日常造口护理相关的皮肤问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a050/4929358/997bbcc90f17/crg-0010-0057-g01.jpg

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