Department of Gynecology, Wuhan Puren Hospital, 430081, China.
Comput Math Methods Med. 2022 Sep 14;2022:9180216. doi: 10.1155/2022/9180216. eCollection 2022.
We use CTA and magnetic resonance data to use digital three-dimensional reconstruction and 3D printing technology to reproduce the solid replication of the uterus and surrounding tissues in vitro, fully evaluate the adjacency of tumor tissues with surrounding important organs, blood vessels, and lymph nodes, and reduce the impact. The normal organ structure and function of the surgeon can shorten the operation time, reduce the bleeding during the operation, and reduce the perioperative complications of the patient to improve the prognosis of the patient.
Select 40 EC patients and divide them into group A (3D reconstruction data is transmitted to 3D printing equipment according to the results of CTA and MRI examination, and a 3D model is printed out according to the ratio of 1 : 1 for evaluation and judgment before surgery) and group B (according to MRI imaging examination, there were 20 cases each). Different surgical conditions, quality of life, adverse reactions, and clinical efficacy were evaluated in each group.
The operation time, the time of the first anus exhaust, the hospitalization time after the operation, and the blood loss of the operation in group A were significantly lower than those in group B. Statistics showed that the difference was significant ( < 0.05). The quality of life scores of emotion, cognition, society, and overall health of group A were significantly higher than those of group B, while physical score, fatigue, nausea, vomiting, and pain were lower than those of group B, which were statistically significant ( < 0.05). Both groups of patients had complications after the operation, and they were asked to be followed up at the outpatient clinic 3 months after the operation. All patients recovered well. There were 19 and 18 patients in groups A and B, respectively, complaining of improvement in clinical symptoms, and the difference was not statistically significant ( < 0.05).
With the support of digital three-dimensional reconstruction and 3D printing technology, complex operations can be accurately performed, improving the efficacy and safety of patients after EC surgery, improving patient outcomes and quality of life, improving EC positioning accuracy, and reducing tumor residue.
我们使用 CTA 和磁共振数据,利用数字三维重建和 3D 打印技术,在体外复制子宫和周围组织的实体复制品,充分评估肿瘤组织与周围重要器官、血管和淋巴结的毗邻关系,减少对正常器官结构和功能的影响。外科医生可以缩短手术时间,减少手术中的出血,并降低患者围手术期并发症的发生率,从而改善患者的预后。
选择 40 例 EC 患者,分为 A 组(根据 CTA 和 MRI 检查结果将 3D 重建数据传输至 3D 打印设备,按 1:1 的比例打印出 3D 模型,用于术前评估和判断)和 B 组(根据 MRI 成像检查,每组 20 例)。评估两组患者的不同手术条件、生活质量、不良反应和临床疗效。
A 组患者的手术时间、首次肛门排气时间、术后住院时间和手术出血量均明显低于 B 组,差异有统计学意义(<0.05)。A 组患者的情绪、认知、社会和整体健康的生活质量评分明显高于 B 组,而身体、疲劳、恶心、呕吐和疼痛的评分明显低于 B 组,差异有统计学意义(<0.05)。两组患者术后均有并发症,术后 3 个月门诊随访,所有患者均恢复良好。A 组和 B 组分别有 19 例和 18 例患者自述临床症状改善,差异无统计学意义(<0.05)。
在数字三维重建和 3D 打印技术的支持下,可以准确进行复杂手术,提高 EC 手术后患者的疗效和安全性,改善患者的结局和生活质量,提高 EC 定位的准确性,减少肿瘤残留。