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3D 打印技术在手术中的应用:一种创新的术前规划方法。

The utilization of 3D printing in surgery as an innovative approach to preoperative planning.

出版信息

Rozhl Chir. 2024;103(8):305-312. doi: 10.48095/ccrvch2024305.

Abstract

INTRODUCTION

3D printing, a concept over 40 years old, is finding broader application in clinical practice thanks to technological advancements. At University Hospital Ostrava, 3D printing is utilized to create anatomically accurate models of specific patients before surgical procedures based on imaging data.

CASE SERIES

3D printing is employed as a complement to conventional imaging methods to produce morphologically precise models of anatomical structures of individual patients. These models primarily serve for preoperative planning in elective abdominal, vascular, and thoracic surgery. They are also used in planning osteosynthesis of complex fractures and corrective osteotomies. Multicolor printing, although increasing the process's time demands, allows better clarity and differentiation of individual anatomical structures within a single model.

DISCUSSION

Compared to 2D images, 3D models provide better spatial orientation and awareness of the operated structures, contributing to improved surgical outcomes. The benefits of 3D printing in preoperative planning and patient education are confirmed by studies across the fields ranging from cardiac surgery to traumatology.

CONCLUSION

After overcoming initial challenges, 3D printing has become a reliable component of the surgical arsenal at University Hospital Ostrava for elective surgery. While 3D printing does not represent a universal answer to all medical challenges, its role is highly beneficial and promising in many indicated cases.

摘要

简介

3D 打印技术已有 40 多年的历史,由于技术的进步,其在临床实践中的应用越来越广泛。在奥斯特拉瓦大学医院,根据影像学数据,3D 打印技术被用于在手术前为特定患者创建解剖学精确的模型。

病例系列

3D 打印技术被用作传统成像方法的补充,用于为个体患者的解剖结构制作形态精确的模型。这些模型主要用于择期腹部、血管和胸部手术的术前规划。它们还用于规划复杂骨折的骨内固定和矫正性截骨术。多色打印虽然增加了过程的时间需求,但可以更好地清晰区分单个模型内的各个解剖结构。

讨论

与二维图像相比,3D 模型提供了更好的空间定位和对手术结构的认识,有助于提高手术效果。从心脏外科到创伤学等领域的研究都证实了 3D 打印在术前规划和患者教育方面的益处。

结论

在克服了最初的挑战之后,3D 打印已成为奥斯特拉瓦大学医院择期手术的可靠手术武器的一部分。虽然 3D 打印并不是所有医疗挑战的通用解决方案,但在许多情况下,它的作用是非常有益和有前途的。

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