实现精确颌面外科手术的数字化设计与制造技术研究  

Study on Digital Design and Manufacturing Techniques to Realize Precise Maxillofacial Prostheses Surgery

作　　者：刘云峰[1,2] 朱慧勇[3] 董星涛[1,2] 彭伟[1,2] 

机构地区：[1]浙江工业大学特种装备制造与先进加工技术教育部重点实验室,杭州310032 [2]浙江省特种装备制造与先进加工技术重点实验室,杭州310032 [3]浙江大学医学院附属第一医院,杭州310003

出　　处：《中国机械工程》2010年第17期2100-2106,共7页China Mechanical Engineering

基　　金：国家自然科学基金资助项目(50905164);浙江省自然科学基金资助项目(Y2090835)

摘　　要：针对目前颌面外科手术前缺少必要的规划和模拟,临床手术操作对医生经验依赖程度较高的现状,将数字化设计和制造技术与医学工程相结合,构建针对复杂颌面外科手术的手术方案设计体系。集成基于CT的三维模型重建、镜像修复模型设计、手术辅助工具设计、模型快速成形制造等工程技术,实现基于虚拟模型的手术方案设计及基于实物模型的模型外科手术模拟,制订理想的手术方案,并通过辅助工具保证方案在临床手术中得到精确实施。22例手术方案临床成功应用表明,应用基于数字化设计与制造技术的手术方案设计系统,手术质量和效率都得到了提高。In maxillofacial surgery,surgical plan and simulation are rarely lacked before clinical operation,and experiences of surgeon are relied heavily.Aiming at this problem,digital design and manufacturing techniques such as image processing,three dimensional tissue reconstruction,surgical aid tool design and rapid prototyping manufacturing were applied into medical areas,to construct surgical plan design system for complicated maxillofacial surgery.With this system,surgical plan design based on virtual model and model operation simulation based on physical model can be realized,and ideal surgical treatment strategy can be acquired,and this strategy can be operated accurately in clinic with help of surgical aid tools.Total 22 successful clinical applications illustrate that,with sugary plan design system based on digital design and manufacturing techniques,the efficiency and quality of maxillofacial surgery can be improved effectively.

关 键 词：数字化设计与制造 颌面外科 手术方案设计 精确手术 

分 类 号：TH16[机械工程—机械制造及自动化] R782[医药卫生—口腔医学]