3D打印技术在颅内动脉瘤开颅夹闭手术中的应用  

Application of three-dimensional printing technology during clipping of intracranial aneurysm

作　　者：康慧斌[1] 黄庆[1] 张洪兵[1] 王刚[1] 胡艳龙[1] 杨俊[1] 王森[1] 侯哲[1] KANG Hui-Bin;HUANG Qing;ZHANG Hong-Bing;WANG Gang;HU Yan-Long;YANG Jun;WANG Sen;HOU Zhe （Department of Neurosurgery;Beijing Luhe Hospital;Capital Med- ical University;Beijing 101149;China）

机构地区：[1]首都医科大学附属北京潞河医院神经外科,北京101149

出　　处：《转化医学电子杂志》2017年第12期26-29,共4页E-Journal of Translational Medicine

基　　金：首都临床特色应用与成果推广项目(Z171100001017044);通州区卫生发展科研专项重点课题(TWKY-2016-ZD-01-10);通州区科技计划项目精准医学专项(KJ2016-CX037-12)

摘　　要：目的:应用3D打印技术制作颅内动脉瘤模型,指导术前手术方案的制定和模拟动脉瘤夹闭.方法:收集16例颅内动脉瘤患者的CTA影像学资料,通过计算机软件进行数字化数据提取和重建,并按1∶1比例进行3D打印,获得动脉瘤实体模型,应用颅内动脉瘤模型指导开颅入路手术方案制定及模拟动脉瘤夹闭.结果:通过对3D打印动脉瘤模型的术前观摩和手术模拟,术中动脉瘤暴露得更加充分,动脉瘤夹到位更加准确,周围结构组织损伤更小,缩短了手术时间.结论:3D打印技术减少了动脉瘤夹的选择及调整次数,缩短了手术时间,在一定程度上提高了颅内动脉瘤开颅夹闭的精准度,降低了脑组织的损伤.AIM： To establish intracranial aneurysm model by applying three-dimensional printing technology, guide the formulation of surgical procedures and simulate aneurysm surgical clipping before surgery. METHODS： The CTA （computed tomographic angiography ） imaging data of 10 patients with intracranial aneurysms were extracted and rebuilded through computer software. Intracranial aneurysm model were obtained by three-dimensional printing according to 1 ： 1. Intracranial aneurysm model was used to guide the formulation of surgical procedures, and simulate aneurysm surgical clipping. RESULTS： Based on the observation and simulation of intracranial aneurysm model printed by three-dimensional printing technology before surgery, intraoperative aneurysm were more fully exposed, the place of aneurysm clipping was more accurate, surrounding structures were less damaged, and the operation time was reduced. CONCLUSION： Three-dimensional printing technology can reduc the choice prob- lem on aneurysm clip and regulating times, help the surgeon to better understand the anatomy around an aneurysm, greatly improve the accuracy of aneurysm surgical clipping and reduce the brain tissues＇ damage.

关 键 词：颅内动脉瘤 3D打印 开颅夹闭 

分 类 号：R739.41[医药卫生—肿瘤]