3D打印协助治疗儿童颅眶沟通朗格汉斯细胞组织细胞增生症一例  

3D-printing help treating Langerhans cell histiocyte of cranio-orbital communication in children:a case report

作　　者：屈雨瑶 王宁[2] 刘思伟[1] 李晶明[1] 胡亚光 QU Yuyao;WANG Ning;LIU Siwei;LI Jingming;HU Yaguang(Department of Ophthalmology,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;Department of Neurosurgery,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)

机构地区：[1]西安交通大学第一附属医院眼科,西安710061 [2]西安交通大学第一附属医院神经外科,西安710061

出　　处：《眼科学报》2023年第9期641-645,共5页Eye Science

摘　　要：朗格汉斯细胞组织细胞增生症(Langerhans cell histiocytosis,LCH)是一种由骨髓细胞肿瘤性增殖引起的罕见疾病,多见于儿童。LCH临床表现多样,以骨骼受累最常见。该文报道了一例儿童颅眶沟通LCH,影像学检查结果提示患儿右侧眉弓处类圆形穿凿样骨质破坏,通过手术切除病灶,送组织病理学检查明确诊断,同时选择通过3D打印聚醚醚酮(polyetheretherketone,PEEK)材料修补颅眶缺损部位,PEEK材料匹配度高、安全性好,改善患儿预后,提升患儿生存质量。Langerhans cell histiocyte(LCH)is a rare disease caused by the tumor-like proliferation of bone marrow cells,which is mostly seen in children.Its clinical manifestations can be diverse,in which the skeletal system is most involved.This paper reports a case of LCH in cranio-orbital communication of a child.The imaging results suggest that there is a round chisel damage at the patient’s right brow ridge.In terms of definitive diagnosis and treatment,this patient underwent surgical resection and histopathological examination.3D-printed polyether-ether-ketone(PEEK)material was selected to repair the cranio-orbital defect.The material can achieve better biocompatibility,while 3D-printing technique allows higher matching degree,both help to improve the prognosis and quality of life of the patient.

关 键 词：朗格汉斯细胞组织细胞增生症 骨质破坏 3D打印 聚醚醚酮 儿童 

分 类 号：R77[医药卫生—眼科]