3D打印整体复制技术在脑动脉瘤手术治疗中的应用  

Application of 3D printing whole replication to individualized treatment of cerebral aneurysm

作　　者：王森[1] 张洪兵[1] 原静 胡艳龙[1] 杨俊[1] 侯哲[1] 康慧斌[1] 黄庆[1] WANG Sen;ZHANG Hong-bing;YUAN Jing;HU Yan-long;YANG Jun;HOU Zhe;KANG Hui-bin;HUANG Qing(Department of Neurosurgery,Bejing Luhe Hospital,Capital Medical University,Bejing 101100,China;Department of Radiotherapy,Beijing Luhe Hospital,Capital Medical University,Beijing 101100,China)

机构地区：[1]首都医科大学附属北京潞河医院神经外科,北京101100 [2]首都医科大学附属北京潞河医院放射治疗科,北京101100

出　　处：《中国临床神经外科杂志》2020年第1期22-24,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨3D打印整体复制技术在脑动脉瘤手术治疗中的应用价值。方法 2017年2月至2019年2月收治符合标准的脑动脉瘤54例,根据术前规划分为观察组(27例)和对照组(27例)。对照组按常规进行计划实施手术。观察组术前应用颅脑整体3D打印模型进行动脉瘤手术模拟。结果两组均顺利完成手术治疗。观察组术中显露时间[(123.3±74.9)min]显著短于对照组[(219.8±121.4)min,P<0.05]。两组住院时间无明显差异(P>0.05)。观察组术后6个月GOS评分[(4.33±0.25)分]、手术前后NIHSS评分差值[(5.85±3.84)分]、Barthrl指数差值[(17.50±4.56)分]均显著大于对照组[分别为(2.86±0.12)分、(3.30±3.53)分、(10.00±5.31)分;P<0.05]。两组术后并发症发生率无明显差异(P>0.05)。结论 3D整体打印模型辅助制定手术计划,可缩短脑动脉瘤术中显露时间,同时改善病人预后。Objective To investigate the application of 3-D printing whole replication to the individualized treatment of cerebral aneurysms and its clinical value. Methods Fifty-four patients with cerebral aneurysms were randomly divided into observation group, in which 27 patients were treated by 3-D printing whole replication technique, and control group, in which 27 by routine preoperative preparation and craniotomy. The average time of exposure of the aneurysms, hospital stay time, GOS score, National Institutes of Health Stroke scale(NIHSS) score, Barthel index and complications were compared between the two groups. Results The operations were successfully completed in both the groups. The average exposure time [(123.3±74.9) min] was significantly shorter in the observation group than that [(219.8±121.4) min] in the control group(P<0.05). There were no significant differences in the hospital stay and rate of occurrence of postoperative complications between both the groups(P>0.05). The scores of GOS and NIHSS and Barthel index were significantly better in the observation group than those in the control group(P<0.05). Conclusion The 3-D printing model of cerebral aneurysms technique is very helpful to shortening the average exposure time of exposure of aneurysms and reducing the postoperative neurological deficits in the patients with intracranial aneurysms.

关 键 词：脑动脉瘤 显微手术 3D打印技术 手术计划 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]