数字化导板在下颚肿瘤手术中的设计与应用

利用计算机辅助技术及3D打印技术对来自江苏省某口腔医院的10例下颚肿瘤患者进行手术方案及辅助导板的设计(设计导板包括手术全过程下颚截骨导板、腓骨截骨导板、下颚导航模板)制作。用来改善下颚肿瘤手术导板固定方式及结构并提升导板贴合度,精准化手术操作,以期达到预想的术前方案要求。临床应用验证所有患者手术均顺利完成,手术结果与术前方案完全一致,跟台时未发现手术过程中医生会因为导板问题导致手术中断的现象,术后患者康复情况良好。数字化导板设计应用提高了下颚手术的安全性、降低手术复杂程度,有效地辅助医生顺利完成手术。为下颚肿瘤手术方案提供了新思路和方法。

Design and Application of Digital Guide Plate in Mandibular Tumor Surgery

Using computer-aided technology and three-dimensional printing technology,10 patients with mandibular tumors from a stomatological hospital in Jiangsu Province were operated and the design of the auxiliary guide plate(including mandibular osteotomy guide plate,fibular osteotomy guide plate and mandibular navigation template)was made.It was used to improve the fixing method and structure of mandibular tumors surgical guide plate,improved the conformity of guide plate,and precise surgical operation,so as to meet the anticipated requirements of preoperative plan.The clinical application proved that all patients had successfully completed the operation.The results of the operation were completely consistent with the preoperative plan.No interruption of the operation due to the guide plate problem was found during the operation,and the patients recovered well after the operation.The design and application of digital guide plate improves the safety of mandibular surgery,reduces the complexity of surgery,and effectively assists doctors to complete the operation smoothly.It provides a new idea and method for mandibular tumors surgery.