组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2014, Vol. 10 ›› Issue (1): 51-53.doi: 10.3969/j.issn.1673-0364.2014.01.016

• 论著 • 上一篇    下一篇

数字化辅助技术在神经纤维瘤手术方案选择中的应用

齐向东，王伟民，张斌，白红民，马立敏，秦建增，钟世镇   

  1. 广东省广州市广州军区广州总医院；广东省广州市南方医科大学
  • 发布日期:2020-07-23

The Application of Digital Technology in Selecting Surgical Plan of Neurofibromatosis Combing Encephalocele

QI Xiangdong,WANG Weimin,ZHANG Bin,BAI Hongmin,MA Limin,QIN Jianzeng,ZHONG Shizhen   

  1. Guangzhou General Hospital of Guangzhou Military Command PLA;Nanfang Medical University
  • Published:2020-07-23
  • Contact: 国家“863”计划（2012aa021105）；国家自然科学基金（41271153,81041059,30771136）；广东省教育部产学研结合项目（2012b091100472）；广东省自然科学基金（10151001002000011）

摘要： 目的探讨数字化技术在神经纤维瘤手术方式选择中的临床应用价值。方法自2010年12月到2013年12月,对27例神经纤维瘤患者行颅脑CT扫描,应用Mimics 16.0软件进行三维重建,快速成型技术打印模型,多学科设计确定手术方案,手术按预先设计进行。结果计算机辅助设计可在虚拟空间中确定手术方案,侵及颅内的病变与神经外科联合手术,其他眼部、颌骨疾患及整形手术分步进行,提高了治疗效果,平均缩短手术时间2 h。结论采用数字化技术进行神经纤维瘤并发脑膜脑膨出术前模拟手术设计,可前瞻性地了解手术步骤,精确定位治疗范围,具有较好的实用价值。

关键词: 神经纤维瘤病, 脑膜脑膨出, 数字医学, 快速成型技术

Abstract: Objective To explore the clinical application of digital technique in selecting surgical plan of neurofibromatosis. Methods From December 2010 to December 2013, 27 patients with neurofibromatosis were selected. The preoperative CT scans were performed and the three-dimensional images were reconstructed by mimic 16.0 software. Then the three-dimensional models were printed by using rapid prototyping. Based on the three-dimensional models and multidisciplinary analysis, surgical procedures were settled. According to the surgical plan, the operations were completed. Results The computer-assisted technique helped doctors decide the surgical plan in virtual spaces. The good clinical effects were achieved and the average operative time were shortened by 2 hours. Conclusion The digital technique assisting the preoperative design could help understanding the surgical procedures and positioning the extent of the defect. It is worthy of promotion.

Key words: Neurofibromatosis, Meningo-encephalocele, Digital medicine, Rapid prototyping

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