3D打印技术在蝶骨嵴脑膜瘤切除术中的应用价值

发布时间：2018-09-01 10:18

【摘要】：目的:研究3D打印技术在蝶骨嵴脑膜瘤手术中的应用价值。方法:选取福建省立医院2016年9月至2016年12月经头颅MRI及螺旋CT扫描发现的蝶骨嵴脑膜瘤患者5例,利用颅脑螺旋CT增强扫描的DICOM图像,针对颅骨、血管及肿瘤,分别进行数据信息的提取和重建,并在同一坐标系下实现装配融合,建立三维复合虚拟模型,再经3D打印技术制作出3D实体模型,于术前、术中参考。结果:成功重建5例患者的蝶骨嵴脑膜瘤三维复合虚拟模型,并制作出实体解剖模型,模型清晰显示颅骨、肿瘤及其与毗邻血管的位置关系,将其应用于术前规划与术中参考,5例患者手术均获得成功。结论:基于3D打印技术的蝶骨嵴脑膜瘤三维复合虚拟模型及其实体解剖模型在优化手术预案、提高肿瘤切除率、减少手术损伤等方面具有重要意义。
[Abstract]:Objective: to study the application value of 3D printing technique in the operation of sphenoid ridge meningioma. Methods: from September 2016 to December 2016, 5 patients with sphenoid crest meningioma were examined by MRI and spiral CT in Fujian Provincial Hospital. The DICOM images of cranial spiral CT were used to analyze the cranial bone, blood vessel and tumor. The data information is extracted and reconstructed, and the assembly fusion is realized in the same coordinate system, and the 3D composite virtual model is established. The 3D solid model is made by 3D printing technology, which is referred to before operation and during operation. Results: the 3D composite virtual model of sphenoid ridge meningioma was successfully reconstructed, and the solid anatomical model was made. The model clearly showed the location of skull, tumor and adjacent blood vessels. Its application to preoperative planning and intraoperative reference was successful in 5 patients. Conclusion: the 3D composite virtual model of sphenoid ridge meningioma based on 3D printing and its entity anatomical model are of great significance in optimizing the operation plan, improving the tumor resection rate and reducing the surgical injury.
【作者单位】：福建省立医院神经外科;福州大学机械工程及自动化学院;
【基金】：福建省自然科学基金项目(编号:2015J01421) 福建医科大学教育教学改革研究项目(编号:J17011) 福建省医学创新课题(编号:2017-CX-14)资助~~
【分类号】：R739.45

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