3D打印技术在颌面部复杂骨折治疗中的应用  

3D Printing Technique in Treatment of Complex Maxillofacial Fracture

作　　者：陈春艳[1,2] 鲍海宏[1] 曹志强[3] 柳云恩[3] 张力[1] 侯明晓[3] 

机构地区：[1]沈阳军区总医院口腔颌面外科,沈阳110016 [2]辽宁医学院研究生院,沈阳110016 [3]沈阳军区总医院重症(战)创伤救治中心实验室,沈阳110016

出　　处：《解放军医药杂志》2015年第11期10-12,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：总后卫生部重大项目新上项目(AMS14L008);辽宁省科技攻关课题(2012225019)

摘　　要：目的探讨3D打印技术在颌面部复杂骨折治疗中的应用价值。方法选择2013年10月—2015年8月沈阳军区总医院收治的10例颌面部复杂骨折,术前进行CT扫描,获得DICOM数据,将数据导入Materialise3-matic软件进行三维重建,在虚拟的三维头颅模型上模拟手术并设计复位导板,通过3D打印技术打印经镜像处理后的三维头颅模型和实体导板,术中引导骨折块复位。结果 3D打印技术的应用使颌面部复杂骨折复位更加精准,大大缩短了手术时间,减少了创伤,术后面形获得了明显改善。结论 3D打印技术在颌面部复杂骨折治疗中具有较高的应用价值。Objective To investigate the application value of digital 3-dimensional （3D） printing technology in treatment of complex maxillofacial fracture. Methods The digital imaging and communications in medicine （DICOM） data of I0 patients with complex maxillofacial fracture during October 2013 and August 2015 were obtained by preopera- tive CT scanning, and the data was put into the Materialise3-matic software to reconstruct the 3D skull models, and then sham operation and resetting guiding plates were performed on the models. The 3D skull models and virtual guiding plates were made after mirror image processing by 3D printing technology guiding the reduction of intraoperative maxillofacial fracture. Results The 3D printing technology in treatment of complex maxillofacial fracture could make the reduction more accurate, shorten the operation time and less invasive, and facial features of all the patients were obviously improved after the operation. Conclusion The 3D printing technology in treatment of complex maxillofacial fracture is of applica- tion value.

关 键 词：3D打印技术 颌面部复杂骨折 外科手术 导板 头颅模型 

分 类 号：R318.17[医药卫生—生物医学工程] R782.23[医药卫生—基础医学]