Department of Spine Surgery, China-Japan Union Hospital of Jilin University, Changchun, People's Republic of China.
Department of Respiratory Medicine, No.964 Hospital of People's Liberation Army, Changchun, People's Republic of China.
Int J Nanomedicine. 2023 Jan 15;18:293-305. doi: 10.2147/IJN.S390500. eCollection 2023.
Bone tumors, including primary bone tumors, invasive bone tumors, metastatic bone tumors, and others, are one of the most clinical difficulties in orthopedics. Once these tumors have grown and developed in the bone system, they will interact with osteocytes and other environmental cells in the bone system's microenvironment, leading to the eventual damage of the bone's physical structure. Surgical procedures for bone tumors may result in permanent defects. The dual-efficacy of tissue regeneration and tumor treatment has made biomaterial scaffolds frequently used in treating bone tumors. 3D printing technology, also known as additive manufacturing or rapid printing prototype, is the transformation of 3D computer models into physical models through deposition, curing, and material fusion of successive layers. Adjustable shape, porosity/pore size, and other mechanical properties are an advantage of 3D-printed objects, unlike natural and synthetic material with fixed qualities. Researchers have demonstrated the significant role of diverse 3D-printed biological scaffolds in the treatment for bone tumors and the regeneration of bone tissue, and that they enhanced various performance of the products. Based on the characteristics of bone tumors, this review synthesized the findings of current researchers on the application of various 3D-printed biological scaffolds including bioceramic scaffold, metal alloy scaffold and nano-scaffold, in bone tumors and discussed the advantages, disadvantages, and future application prospects of various types of 3D-printed biological scaffolds. Finally, the future development trend of 3D-printed biological scaffolds in bone tumor is summarized, providing a theoretical foundation and a larger outlook for the use of biological scaffolds in the treatment of patients with bone tumors.
骨肿瘤,包括原发性骨肿瘤、侵袭性骨肿瘤、转移性骨肿瘤等,是骨科领域最具临床挑战性的问题之一。一旦这些肿瘤在骨系统中生长和发展,它们将与骨系统微环境中的成骨细胞和其他环境细胞相互作用,最终导致骨的物理结构受损。骨肿瘤的手术治疗可能会导致永久性缺陷。组织再生和肿瘤治疗的双重功效使得生物材料支架在治疗骨肿瘤中经常被使用。3D 打印技术,也称为增材制造或快速原型制造,是通过连续层的沉积、固化和材料融合,将 3D 计算机模型转化为物理模型。与具有固定质量的天然和合成材料不同,3D 打印物体具有可调节形状、孔隙率/孔径和其他机械性能等优点。研究人员已经证明了各种 3D 打印生物支架在治疗骨肿瘤和骨组织再生方面的重要作用,并且它们增强了产品的各种性能。基于骨肿瘤的特点,本文综合了当前研究人员关于各种 3D 打印生物支架(包括生物陶瓷支架、金属合金支架和纳米支架)在骨肿瘤中的应用的研究结果,并讨论了各种类型的 3D 打印生物支架的优缺点和未来的应用前景。最后,总结了 3D 打印生物支架在骨肿瘤中的未来发展趋势,为生物支架在骨肿瘤患者治疗中的应用提供了理论基础和更广阔的前景。
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