数字化医疗与三维打印技术在足踝外科的应用  

Application of digital medicine and three-dimensional printing technology in foot and ankle surgery

作　　者：王嘉正 施忠民[1] WANG Jia-zheng;SHIZhong-min(Department of Orthopedics,Shanghai Sixth People's Hospital,Shanghai JiaoTong University School of Medicine,Shanghai 200233,China)

机构地区：[1]上海交通大学医学院附属第六人民医院,上海200233

出　　处：《中国矫形外科杂志》2025年第4期329-334,共6页Orthopedic Journal of China

基　　金：上海交通大学“交大之星”计划医工交叉研究基金项目(编号:YG2022ZD018);上海市科学技术委员会科技计划项目(编号:23015820500)。

摘　　要：数字医学是近年来出现的一门借助信息技术并结合现代医学的研究与实践而形成的集数字医学诊断、治疗和检测技术于一体的新兴前沿科学。数字医学包括三维模型重建、手术导航系统、3D打印技术及个性化手术导板和手术机器人等。三维打印,又称3D打印,是一种快速成型技术,以数字模型文件为基础,运用可粘合材料,通过逐层打印的方式构造物体。从个性化定制型足踝部矫形器,到定制手术截骨导板和螺钉导向器,3D打印技术在足踝外科领域的应用已经逐渐深入;从术前规划和宣教、医学教育,再到临床医学实践中的应用,3D打印技术的优势涉及各个方面。3D打印技术利于更细致的术前规划、更精简的手术过程、更高效的医患交流,对实施精准医疗的贡献是显著的。目前研究表明,3D打印技术有可能显著提高足踝外科医生的临床技能、优化手术过程、增进医患关系、改善医患沟通,提高患者对所患疾病的认知,对改善整体医疗行为有着不可忽视的积极作用。Digital medicine is an emerging frontier science that combines digital medical diagnosis,treatment and detection technology with the help of information technology and modern medical research and practice in recent years.Digital medicine includes 3D modelreconstruction,surgical navigation systems,3D printing technology,personalized surgical guides and surgical robots.Three dimensionalprinting,also known as 3D printing,is a rapid prototyping technology that constructs objects by printing them layer by layer,based on digital model files and using adhesive materials.From customized foot and ankle orthotics to customized osteotomy guides and screw guides,3Dprinting technology has been gradually applied in the field of foot and ankle surgery.From preoperative planning and education,medical education,and then to the application of clinical medical practice,the advantages of 3D printing technology involve various aspects.Withmore detailed preoperative planning,more streamlined surgical procedures,and more efficient doctor-patient communication,the contribution of 3D printing technology to the implementation of precision medicine is significant.Current research shows that 3D printing technology may significantly improve the clinical skills of foot and ankle surgeons,optimize the surgical process,enhance the doctor-patient rela-tionship,improve doctor-patient communication,build up patients'cognition of the disease,and have a positive role in improving the overall medical behavior.

关 键 词：数字医学 3D打印 踝关节 足踝外科 

分 类 号：R687[医药卫生—骨科学]