计算机辅助设计在小儿颅骨畸形治疗中的临床应用

发布时间：2018-04-13 06:18

本文选题：计算机辅助设计 + 颅骨畸形　；参考：《浙江大学》2012年硕士论文

【摘要】：目的：探讨计算机辅助设计和数字化制造技术在颅骨整形手术治疗当中的运用。方法： 2008年1月至2012年1月手术治疗33例1月龄至13岁颅骨畸形患儿,均经颅骨CT扫描及三维重建。运用CT数据建立起适当的数字化模型,通过虚拟现实设计手术方案,运用数字化制造技术制作手术模板,制定个性化的手术治疗方案,从而提高手术效率以及精准度。结果：所有病例均按照术前方案顺利实施手术,术后随访狭颅症患儿头颅外观明显改善,脑组织随颅腔扩大而得到不同程度的发育,术后智力测评改善明显。随访巨颅症患儿头围平均缩小5.5cm,外观改善明显,颅骨缺损患儿修补完整,外观完全正常。与传统颅骨整形手术治疗的病例对比,手术方案设计更加个性化,手术方案的精准实施得到很好的支持。同时手术时间明显缩短,从而减少了手术并发症的发生以及促进了术后患儿的恢复。结论：计算机辅助设计和数字化制造技术能对颅骨整形手术的术前设计以及术中实施提供帮助,对于提高患儿的手术效率,增强手术目的,效果良好
[Abstract]:Purpose :

To explore the application of computer - aided design and digital manufacturing technology in the treatment of skull plastic surgery .

Method :

From January 2008 to January 2012 , 33 children with 1 - month - old to 13 - year - old were treated with CT scan and three - dimensional reconstruction . Using CT data , an appropriate digital model was established . By means of virtual reality design , the surgical template was produced by digital manufacturing technique .

Results :

All the cases were operated successfully according to the preoperative plan , the skull appearance of the children with follow - up was obviously improved , the brain tissue was developed with different degrees with the expansion of the cranial cavity , the postoperative intelligence was improved obviously . Compared with the cases treated by the traditional skull plastic surgery , the operation scheme was more personalized , the precise implementation of the surgery plan was very good . At the same time , the operation time was shortened obviously , thus reducing the occurrence of the surgical complication and promoting the recovery of the children after operation .

Conclusion :

The computer - aided design and digital manufacturing technology can help the preoperative design of the skull plastic surgery and the implementation of the operation , so as to improve the operation efficiency of the children and enhance the operation purpose and the effect is good .

【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R726.5

【参考文献】