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三维打印技术在基层医院脑膜瘤术前定位中的初步应用。

Preliminary Application of Three-Dimensional Printing Technique in Preoperative Localization of Meningioma in Primary Hospitals.

机构信息

Department of Neurosurgery, Binzhou Medical University Hospital, Binzhou, China.

Department of Neurology, University of Bonn, Bonn, Germany.

出版信息

J Craniofac Surg. 2021;32(5):1796-1799. doi: 10.1097/SCS.0000000000007509.

Abstract

OBJECTIVE

To explore the preliminary application of three-dimensional (3D) printing technique in preoperative localization of meningiomas in primary hospitals.

PATIENTS AND METHODS

The enrolled subjects were 13 patients in the Department of Neurosurgery, Affiliated Hospital of Binzhou Medical College, Shandong Province between December 2018 and June 2020, including CT or MRI data from eight cases of brain meningiomas and five cases of cerebrospinal meningiomas. The Mimics 17.0 software package was applied to reconstruct the 3D images and print out the 3D guide. The authors placed the 3D printed guide on the surgical area for preoperative tumor location.

RESULTS

The 3D printed guides for all patients were successfully designed and printed out. Simpson grade I resection was performed on all tumors. No significant hematoma, brain edema, or neurological symptoms were observed in the postoperative patients, and the surgical results were good.

CONCLUSIONS

The authors can use 3D printing technology for precise preoperative localization of meningiomas. Grassroots hospitals can also use this technique because of its economic, accurate, and personalized characteristics.

摘要

目的

探讨三维(3D)打印技术在基层医院脑膜瘤术前定位中的初步应用。

患者与方法

本研究纳入 2018 年 12 月至 2020 年 6 月期间山东省滨州市附属医院神经外科的 13 名患者,包括 8 例脑脑膜瘤和 5 例脑脊膜瘤的 CT 或 MRI 数据。使用 Mimics 17.0 软件包重建 3D 图像并打印出 3D 引导器。作者将 3D 打印的引导器放置在手术区域进行术前肿瘤定位。

结果

所有患者的 3D 打印引导器均成功设计和打印。所有肿瘤均行 Simpson Ⅰ级切除。术后患者无明显血肿、脑水肿或神经症状,手术效果良好。

结论

作者可以使用 3D 打印技术对脑膜瘤进行精确的术前定位。基层医院也可以使用这项技术,因为它具有经济、准确和个性化的特点。

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