基于3D打印的骨盆肿瘤“三位一体”个性化治疗模式专家共识  

Expert Concensus on ’Triune’ Personalized Treatment of Pelvic Tumors Based on 3D Printing

作　　者：艾松涛[1] 蔡郑东[2] 陈飞雁 戴尅戎[4] 董扬[5] 富灵杰[4] 郝永强[4] 华莹奇[2] 姜闻博[6] 梅炯[5] 沈宇辉[7] 孙伟[2] 万荣[7] 王毅超 王志伟[9] 魏海峰 武文[4] 肖建如 严望军 杨兴海 张春林[12] 张伟滨[7] AI Songtao;CAI Zhengdong;CHEN Feiyan;DAI Kerong;DONG Yang;FU Lingjie;HAO Yongqiang;HUA Yingqi;JIANG Wenbo;MEI Jiong;SHEN Yuhui;SUN Wei;WAN Rong;WANG Yichao;WANG Zhiwei;WEI Haifeng;WU Wen;XIAO Jianru;YAN Wangjun;YANG Xinghai;ZHANG Chunlin;ZHANG Weibin(Department of Radiology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Orthopedics,Shanghai Jiao Tong University Affiliated First People's Hospital,Shanghai 200080,China;Department of Orthopedics,Huashan Hospital,Fudan University,Shanghai 200040,China;Department of Orthopedics,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Orthopedics.Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233,China;Clinical and Translational Research Center for 3D Printing Technology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Orthopedics,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200025,China;Department of Orthopedics,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Orthopedics,Changhai Hospital,the Second Military Medical University,Shanghai 200433,China;Department of Orthopedic Oncology,Changzheng Hospital,the Second Military Medical University,Shanhai 200003,China;Department of Musculoskeletal Oncology,Fudan University Shanghai Cancer Center,Shanghai 200032,China;Department of Orthopedics,Shanghai Tenth People's Hospital,Tongji University School of Medicine,Shanghai 200072,China)

机构地区：[1]上海交通大学医学院附属第九人民医院放射科,上海200011 [2]上海交通大学附属第一人民医院骨科,上海200080 [3]复旦大学附属华山医院骨科,上海200040 [4]上海交通大学医学院附属第九人民医院骨科,上海200011 [5]上海交通大学附属第六人民医院骨科,上海200233 [6]上海交通大学医学院附属第九人民医院医学3D打印创新研究中心,上海200011 [7]上海交通大学医学院附属瑞金医院骨科,上海200025 [8]复旦大学附属中山医院骨科,上海200032 [9]上海长海医院骨科,上海200433 [10]上海长征医院骨肿瘤外科,上海200003 [11]复旦大学附属肿瘤医院骨软组织外科,上海200032 [12]同济大学附属第十人民医院骨科,上海200072

出　　处：《医用生物力学》2021年第1期1-5,共5页Journal of Medical Biomechanics

摘　　要：骨盆邻近区域解剖复杂,有消化、泌尿、生殖等脏器及重要血管和神经,因此,骨盆肿瘤精准切除及切除后骨缺损精准重建极为困难。医学3D打印技术的发展为骨盆肿瘤的精准切除和个性化重建提供了新思路。3D打印个性化病变模型、截骨导板和重建假体"三位一体"在骨盆肿瘤切除与保肢重建中的应用,取得了良好的临床效果。但目前缺乏针对3D打印个性化骨盆肿瘤模型、截骨导板和重建假体设计、制备流程及应用的规范性指导标准,制约了其推广应用。本共识的制定旨在为基于3D打印的"三位一体"个性化治疗模式在骨盆肿瘤保肢重建中的应用提供规范性指导。The adjacent anatomy of the pelvis is complicated,with digestive,urinary,reproductive and other organs as well as important blood vessels and nerves. Therefore,accurate resection of pelvic tumors and precise reconstruction of defects after resection are extremely difficult. The development of medical three-dimensioal( 3D) printing technology provides new ideas for precise resection and personalized reconstruction of pelvic tumors. The ‘triune ’ application of 3D printing personalized lesion model, osteotomy guide plate and reconstruction prosthesis in pelvic tumor limb salvage reconstruction treatment has achieved good clinical results.However,the current lack of normative guidance standards such as preparation and application of 3D printing personalized lesion model,osteotomy guide plate and reconstruction prosthesis restricts its promotion and application. The formulation of this consensus provides normative guidance for 3D printing personalized pelvic tumor limb salvage reconstruction treatment.

关 键 词：骨盆肿瘤 3D打印 模型 导板 重建假体 个性化治疗 医工交互 共识 

分 类 号：R318.01[医药卫生—生物医学工程]