Yang Tianyou, Tan Tianbao, Yang Jiliang, Pan Jing, Hu Chao, Li Jiahao, Zou Yan
Department of Paediatric Surgery, 159390 Guangzhou Women and Children's Medical Centre , Guangzhou Medical University, Guangzhou, Guangdong Province, China.
J Int Med Res. 2018 Apr;46(4):1570-1578. doi: 10.1177/0300060518755267. Epub 2018 Feb 13.
Objective To investigate the impact of using a three-dimensional (3D) printed liver model for patient education. Methods Children with hepatic tumours who were scheduled for hepatectomy were enrolled, and patient-specific 3D liver models were printed with photosensitive resin, based on computed tomography (CT) images. Before surgery, their parents received information regarding liver anatomy, physiology, tumour characteristics, planned surgery, and surgical risks using these CT images. Then, parents completed questionnaires regarding this information. Thereafter, 3D printed models of each patient were presented along with an explanation of the general printing process, and the same questionnaire was completed. The median number of correct responses in each category before and after the 3D printed model presentation was compared. Results Seven children and their 14 parents were enrolled in the study. After the presentation of 3D printed models, parental understanding of basic liver anatomy and physiology, tumour characteristics, the planned surgical procedure, and surgical risks significantly improved. Parents demonstrated improvements in their understanding of basic liver anatomy by 26.4%, basic liver physiology by 23.6%, tumour characteristics by 21.4%, the planned surgical procedure by 31.4%, and surgical risks by 27.9%. Conclusions Using 3D printed liver models improved parental education regarding the understanding of liver anatomy and physiology, tumour characteristics, surgical procedure, and associated surgical risks.
目的 探讨使用三维（3D）打印肝脏模型对患者教育的影响。方法 纳入计划接受肝切除术的肝肿瘤患儿，根据计算机断层扫描（CT）图像，用光敏树脂打印患者特异性的3D肝脏模型。手术前，患儿家长通过这些CT图像了解肝脏解剖、生理、肿瘤特征、计划手术及手术风险等信息。然后，家长完成关于这些信息的问卷调查。此后，展示每个患者的3D打印模型并解释一般打印过程，家长再次完成相同问卷。比较3D打印模型展示前后各项目正确回答的中位数。结果 7名患儿及其14名家长纳入研究。3D打印模型展示后，家长对肝脏基本解剖和生理、肿瘤特征、计划手术过程及手术风险的理解显著提高。家长对肝脏基本解剖的理解提高了26.4%，肝脏基本生理提高了23.6%，肿瘤特征提高了21.4%，计划手术过程提高了31.4%，手术风险提高了27.9%。结论 使用3D打印肝脏模型改善了家长对肝脏解剖和生理、肿瘤特征、手术过程及相关手术风险的理解。
