三维打印个体化导板定位下微创穿刺HCH的疗效探讨.docx

DOI: 10.3877/cma.j.issn.2095-9141.2017.05.002 三维打印个体化导板定位下微创穿刺 HCH的疗效探讨 丁向前杨璐瑶李珍珠王清波陈正孙其凯耿鑫 李泽福 滨州医学院附属医院神经外科 导出/参考文献关注 分享 收藏打印 摘要： 目的探讨基于计算机辅助设计（CAD）的三维打卬（3DP）个体化导板定位下微 创穿刺引流术对高血压脑出血（HCH）患者的治疗效果。方法 选取自2015年9 月至2017年5月滨州医学院附属医院神经外科诊治的108例HCH患者为研究对 彖，随机分为2组，穿刺组48例患者接受基于CAD的3DP个体化导板定位下微 创穿刺引流术治疗，对照组60例患者接受小骨窗显微开颅术治疗，对比2组患 者术后并发症发生率及临床疗效。穿刺组患者以头颅高分辨CT资料为基础，通 过计算机辅助获得三维立体图像并设计1个包含穿刺通道的最优个体化导板， 采用3DP技术进行打印得到立体实物模型，术前凭借实物模型直观形象的同患 者及家属进行病情介绍及手术方案的沟通，并模拟具体的微创穿刺过程。术屮个 体化导板定位指导穿刺方向及深度。结果穿刺组患者术后并发症发生率和临床 疗效与对照组对比，差异无统计学意义（P0. 05） o结论小骨窗显微开颅术治 疗HCH已基木得到学者的公认，基于CAD的3DP个体化导板定位下微创穿刺引流 术与小骨窗显微开颅术治疗HCH对比，治疗效果无差异，其安全可靠而值得推 广应用，尤其在未达到显微治疗条件的基层医院。 关键词： 数字I矢学;二维打卬技术;个体化导板;微创穿刺引流术;高血压脑岀血; 作者简介：李泽福,Emai 1: zeful i@163. com 收稿日期:2017-07-23 基金：国家自然科学基金 Effect of minimally invasive puncture of HCH by three dimensional printing ividualized guide-plate Ding Xiangqian Yang Luyao Li Zhenzhu Wang Qingbo Chen Zheng Sun Qikai Geng Xin Li Zefu Department of Neurosurgery, Binzhou Medical University Hospital; Abstract： Objective This paper investigates the efficacy of by computer aided design (CAD) -based three dimensional printing (3DP) individualized guideboarc! assisted minimally invasive perforation on patients with hypertensive cerebral hemorrhage (HCH) .Methods A total of 108 patients with HCH were enrolled in our department from September 2015 to May 2017, they were randomly divided into two groups, the 48 patients in the invasive group received CAD-based 3 DP perforation surgery, the microscopic group of 60 patients received small bone window minimally invasive craniotomy treatment, compared the two groups of patients with postoperative complications and clinical efficacy. On the basis of high~resolution CT data of the invasive group, the three-dimensional images were obtained by computer-aided design and an optimal individualized guideboard was designed, after 3DP technique was used to print, preoperative communicate with the patient and their fami lies the disease and surgical pr