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胎儿血管环的 3D 打印:可行性和适用性。

3D printing of foetal vascular rings: feasibility and applicability.

机构信息

Department of Obstetrics and Gynecology Ultrasound, Renmin Hospital of Wuhan University, Wuhan, 430060, China.

Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, Wuhan, 430060, China.

出版信息

BMC Pregnancy Childbirth. 2023 May 16;23(1):355. doi: 10.1186/s12884-023-05683-6.

Abstract

BACKGROUND

Vascular rings (VRs) exhibit complex and diverse forms that are difficult to conceptualize using traditional two-dimensional (2D) schematic. Inexperienced medical students and parents who lack a medical technology background face significant challenges in understanding VRs. The purpose of this research is to develop three-dimensional (3D) printing models of VRs to provide new technical imaging support for medical education and parental consultation.

METHODS

This study included 42 fetuses diagnosed as VRs. Foetal echocardiography, modeling and 3D printing were performed, and the dimensional accuracy of models was analyzed. The value of 3D printing in the teaching of VRs was analyzed based on comparing the test results before and after the teaching intervention of 48 medical students and the satisfaction survey. A brief survey was conducted to 40 parents to assess the value of the 3D printed model in prenatal consultations.

RESULTS

Forty models of VRs were successfully obtained, which reproduced the anatomical shape of the VRs space with high dimensional accuracy. No differences in the prelecture test results were noted between the 3D printing group and the 2D image group. After the lecture, the knowledge of both groups improved, but the postlecture score and the change in the prelecture versus postlecture score were greater in the 3D printing group, and the subjective satisfaction survey feedback in the 3D printing group was also better (P < 0.05). Similar results were observed from the parental questionnaire, the vast majority of parents have an enthusiastic and positive attitude towards the use of 3D printed models and suggest using them in future prenatal consultations.

CONCLUSIONS

Three-dimensional printing technology providing a new tool for effectively displaying different types of foetal VRs. This tool helps physicians and families understand the complex structure of foetal great vessels, positively impacting medical instruction and prenatal counselling.

摘要

背景

血管环(VR)表现出复杂多样的形态,用传统的二维(2D)示意图难以想象。缺乏医学背景的医学生和家长在理解 VR 时面临着重大挑战。本研究旨在制作 VR 的 3D 打印模型,为医学教育和家长咨询提供新的技术影像学支持。

方法

本研究纳入了 42 例被诊断为 VR 的胎儿。进行胎儿超声心动图、建模和 3D 打印,并分析模型的尺寸精度。通过比较 48 名医学生教学干预前后的测试结果和满意度调查,分析 3D 打印在 VR 教学中的价值。对 40 名家长进行了简要调查,以评估 3D 打印模型在产前咨询中的价值。

结果

成功获得了 40 个 VR 模型,这些模型高度准确地再现了 VR 空间的解剖形状。3D 打印组和 2D 图像组在预讲课测试结果上无差异。讲座后,两组知识均有所提高,但 3D 打印组的课后评分和预讲课后评分变化更大,3D 打印组的主观满意度调查反馈也更好(P<0.05)。家长问卷调查也得到了类似的结果,绝大多数家长对使用 3D 打印模型持积极和肯定的态度,并建议在未来的产前咨询中使用。

结论

3D 打印技术为有效展示不同类型胎儿 VR 提供了新工具。该工具有助于医生和家庭理解胎儿大血管的复杂结构,对医学教学和产前咨询产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58a/10186654/c4c40340680d/12884_2023_5683_Fig1_HTML.jpg

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