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三维重建与三维打印技术在晚期卵巢癌手术中的应用:一项回顾性研究。

Application of 3D reconstruction and 3D printing technology in advanced ovarian cancer surgery: a retrospective study.

作者信息

Cai Zhihui, Zhang Ke, Li Linqian, Suo Yuping

机构信息

Gynecology Department, The Fifth Clinical Medical School of Shanxi Medical University, Taiyuan, Shanxi, China.

3D Image and 3D Printing Center, Affiliated Hospital of Hebei University, Baoding, Hebei, China.

出版信息

Front Oncol. 2024 Aug 16;14:1432970. doi: 10.3389/fonc.2024.1432970. eCollection 2024.

Abstract

BACKGROUNDS

Advanced ovarian cancer is frequently accompanied by extensive peritoneal metastasis, complicating surgical interventions. This study aims to explore the application of 3D reconstruction and 3D printing technology in the treatment of advanced ovarian cancer.

METHODS

We conducted a retrospective analysis of 60 patients with stage III ovarian cancer who underwent cytoreductive surgery at Hebei University Affiliated Hospital between 2020 and 2023. Patients were randomly assigned to three groups: a 3D visualization group, a 3D visualization plus 3D printing group, and a traditional 2D CT imaging evaluation group. High-precision medical imaging techniques (e.g., CT, MRI) were employed to create digital 3D models, which were then converted into physical entities using 3D printing for surgical planning and simulation.

RESULTS

Both the 3D visualization group and the 3D visualization plus 3D printing group demonstrated superior outcomes in terms of surgery duration and blood loss compared to the traditional 2D CT group, indicating the efficacy of 3D reconstruction and 3D printing in preoperative planning. Postoperative recovery indicators, such as hospital stay and time to first flatus, were also more favorable in the groups utilizing 3D technology. Although there were no significant differences in postoperative complications and recurrence rates among the three groups, the groups using 3D technology showed advantages in reducing certain complications.

CONCLUSIONS

The results indicate that medical 3D technology has significant value in the surgical planning of advanced ovarian cancer, enhancing surgical precision and reducing intraoperative risks, which may aid in improving postoperative recovery.

摘要

背景

晚期卵巢癌常伴有广泛的腹膜转移,使手术干预复杂化。本研究旨在探讨三维重建和三维打印技术在晚期卵巢癌治疗中的应用。

方法

我们对2020年至2023年期间在河北大学附属医院接受减瘤手术的60例III期卵巢癌患者进行了回顾性分析。患者被随机分为三组:三维可视化组、三维可视化加三维打印组和传统二维CT成像评估组。采用高精度医学成像技术(如CT、MRI)创建数字三维模型,然后使用三维打印将其转换为实体模型用于手术规划和模拟。

结果

与传统二维CT组相比,三维可视化组和三维可视化加三维打印组在手术时间和失血量方面均显示出更好的结果,表明三维重建和三维打印在术前规划中的有效性。利用三维技术的组在术后恢复指标方面,如住院时间和首次排气时间,也更有利。尽管三组术后并发症和复发率无显著差异,但使用三维技术的组在减少某些并发症方面显示出优势。

结论

结果表明,医学三维技术在晚期卵巢癌的手术规划中具有重要价值,可提高手术精度并降低术中风险,这可能有助于改善术后恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d12/11361939/47242f570a5a/fonc-14-1432970-g001.jpg

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