3D打印技术在腹腔镜下肾脏肿瘤手术选择中的应用  

Application of 3D printing technology in the selection of laparoscopic renal tumor surgery

作　　者：黄建荣[1] 李小玉 赵剑洁[1] 邓小林[1] 杜传策[1] 钟久庆[1] HUANG Jian-rong;LI Xiao-yu;ZHAO Jian-jie;DENG Xiao-lin;DU Chuan-ce;ZHONG Jiu-qing(Department of Urology Surgery,People′s Hospital of Ganzhou City,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院泌尿外科,江西赣州341000

出　　处：《中国当代医药》2020年第34期97-100,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20197370)。

摘　　要：目的探讨3D打印技术在腹腔镜下肾脏肿瘤手术选择中的应用价值。方法选取2018年8月~2019年10月江西省赣州市人民医院收治的60例肾脏肿瘤患者作为研究对象,采用随机数字表法将其分为对照组与观察组,每组各30例。对照组患者以CT、MRI辅助拟定手术切除计划,观察组患者以3D打印技术结合CT、MRI断层图像辅助拟定手术切除计划。比较两组患者的手术时间、血流阻断时间、术中出血量、切缘宽度、术前及术后肌酐水平、不良事件总发生率。结果观察组患者的手术时间、血流阻断时间均短于对照组,术中出血量少于对照组,切缘宽度短于对照组,差异有统计学意义(P<0.05)。术前,两组患者的肌酐水平比较,差异无统计学意义(P>0.05);术后3 d、1个月,两组患者的的肌酐水平均低于术前,差异有统计学意义(P<0.05);术后1个月,两组患者的肌酐水平均低于术后3 d,差异有统计学意义(P<0.05);术后3 d、1个月,观察组患者的肌酐水平均低于对照组,差异有统计学意义(P<0.05)。观察组患者的不良事件总发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下肾脏肿瘤手术中,除常规CT、MRI辅助措施,还可选择3D打印技术。3D打印技术应用于腹腔镜下肾脏肿瘤手术有利于准确把握手术切除范围,提高手术效率,减轻术中肾功能损伤与手术风险,提高手术质量。Objective To investigate the application value of 3D printing technology in the selection of laparoscopic renal tumor surgery.Methods A total of 60 renal tumor patients who admitted to People′s Hospital of Ganzhou City,Jiangxi Province from August 2018 to October 2019 were selected as the research objects and divided into the control group and the observation group by random number table method,with 30 cases in each group.The control group achieved CT and MRI to draw up the surgical resection plan.The observation group achieved 3D printing technology combined with CT and MRI tomographic image to draw up the surgical resection plan.The operation time,blood flow blocking time,intraoperative bleeding volume,cut margin width,creatinine levels before and after operation,and the total incidence of adverse events were compared between the two groups.Results The operation time and blood flow block time of the observation group were shorter than those of the control group,the intraoperative bleeding volume was less than that of the control group,the cut margin width was shorter than that of the control group,and the differences were statistically significant(P<0.05).Before surgery,there was no significant difference in creatinine level between the two groups(P>0.05).At 3 d and 1 month after operation,the creatinine level of the two groups were lower than those before surgery,and the differences were statistically significant(P>0.05).At 1 month after surgery,the creatinine levels of the two groups were lower than those at 3 d after operation,and the differences were statistically significant(P<0.05).At 3 d and 1 month after operation,the creatinine levels of the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In laparoscopic renal tumor surgery,in addition to conventional CT and MR

关 键 词：3D打印技术 腹腔镜 肾脏肿瘤 切除术 肾功能 肌酐 

分 类 号：R737.11[医药卫生—肿瘤]