3D打印技术辅助脑动脉瘤手术的临床应用  

Clinical application of 3D printing technique in treatment of intracranial aneurysms

作　　者：钱希颖[1] 金立德[1] 陶维华[1] 赵建华[1] 洪孙权[1] 

机构地区：[1]云南省第一人民医院神经外科,昆明650032

出　　处：《中华神经医学杂志》2016年第5期483-485,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨3D打印技术辅助脑动脉瘤手术的临床应用价值。方法云南省第一人民医院神经外科自2014年5月至2015年6月应用3D打印技术制作高精度的脑动脉瘤模型，辅助术者开颅夹闭脑动脉瘤8例，回顾性分析患者的临床资料和疗效。结果8例患者的11个动脉瘤均在一期、单侧开颅的情况下顺利夹闭，术中无动脉瘤破裂，手术时间较常规动脉瘤夹闭时间缩短0.5 h以上。出院时格拉斯哥预后评分（GOS）显示恢复良好7例，轻度残疾1例，无死亡及重度残疾病例。术后CT血管造影（CTA）或数字减影血管造影（DSA）复查均未见动脉瘤残留。结论3D打印技术能全面、直观、精确地显示动脉瘤及其毗邻解剖结构的空间关系，对脑动脉瘤治疗具有良好的临床指导意义，具有良好的临床应用前景，值得推广。Objective To investigate the clinical application value of 3D printing technique in the treatment ofintmcranial aneurysms. Methods Eight patients with intracranial aneurysms, admitted to our hospital from May 2014 to June 2015, were chosen in our study; three dimensional reconstructions of anatomical models were accomplished by computer aided technology. By rapid prototyping, the intracranial aneurysm models were manufactured, operation project were formulated and preoperative sham-operation was enforced to supervise the intracranial aneurysm clipping. The clinical data and clipping efficacy were retrospectively analyzed. Results Eight patients with 11 intracranial aneurysms at stage I were treated successfully with aneurysm clipping via unilateral craniotomy without rupture of aneurysms. Preoperative sham operation shortened the time of operation and reduced the postoperative complications. Glasgow outcome scale scores at hospital discharge indicated that good recovery was noted in 7 patients and mild disability in one. Postoperative CTA or DSA did not show residual aneurysms. Conclusions Three-dimensional printing technology can overall, intuitively, exactly display three-dimensional shape of intracranial aneurysms and spatial relation of anatomic structure. It has important role of supervising treatment of intracranial aneurysms and broad application perspective, thus deserves generalization.

关 键 词：3D打印技术 脑动脉瘤 手术 

分 类 号：R651.12[医药卫生—外科学] TP391.73[医药卫生—临床医学]