计算机模拟手术结合3D打印技术在复杂骨折手术中的应用进展  

Application progress of computer simulation surgery combined with 3D printing technology in complex fracture surgery

作　　者：杨立宇[1] 郭文娟[2] 叶飞[2] 张一奇[1] 巴根[1] YANG Liyu;GUO Wenjuan;YE Fei;ZHANG Yiqi;BA Gen(Department of Orthopedics,Shengjing Hospital of China Medical University,Shenyang 110004,China;Department of Orthopedics,People’s Hospital of Tacheng Prefecture,Tacheng 834700,China)

机构地区：[1]中国医科大学附属盛京医院骨科,沈阳110004 [2]塔城地区人民医院骨科,新疆塔城834700

出　　处：《中国医科大学学报》2025年第2期167-170,177,共5页Journal of China Medical University

基　　金：国家自然科学基金(82100939);辽宁省自然科学基金援疆专项(2020-MS-04)。

摘　　要：以计算机辅助设计为基础的3D打印技术能够快速制作三维立体模型,清晰显示骨折部位的解剖结构、类型和破裂程度,为了解骨折情况提供全方位的视觉化手段。该技术还能帮助医生设计个性化的植入物,选择定制的手术导向板和固定螺丝。手术医生通过术前模拟操作,对手术方案进行优化,提高手术的准确性和效果。本文总结了计算机模拟手术结合3D打印技术在多种骨科手术中的应用情况,并广泛阐述了3D打印技术在临床骨科领域的巨大应用潜力。Three-dimensional(3D) printing technology,which is based on computer aided design,presents innovative solutions for clinical surgical treatments and is increasingly being utilized in clinical settings.By integrating medical-image processing software and a 3D printer with customized materials,physicians can efficiently fabricate a 3D model layer by layer,thus realizing the reconstruction of human-body models with specific objectives.These models vividly showcase the anatomical structures,fracture types,and rupture severity,thereby facilitating doctors in understanding the fracture being examined.Beyond serving as a mere demonstration tool,the physical model assists doctors in designing personalized implants and selecting customized surgical guide plates and fixation screws.Surgeons can improve the surgical accuracy and efficacy by refining the surgical plan via preoperative simulation operations.This article presents a summary of the application of computer-simulation surgery in conjunction with 3D printing technology in various complex surgeries.Additionally,the significant potential applications of 3D printing technology in the clinical orthopedics field are discussed.

关 键 词：计算机辅助设计 3D打印 复杂骨折 

分 类 号：R687.3[医药卫生—骨科学]