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3D打印技术在髋臼骨折个性化导航模块设计中的应用
引用本文:吴毅, 吴章林, 孙永建, 曾参军, 黄文华. 3D打印技术在髋臼骨折个性化导航模块设计中的应用[J]. 分子影像学杂志, 2016, 39(4): 379-382. doi: 10.3969/j.issn.1674-4500.2016.04.11
作者姓名:吴毅  吴章林  孙永建  曾参军  黄文华
作者单位:1.南方医科大学第五附属医院,广东 广州 510900;;2.南方医科大学第三附属医院,广东 广州 510630;;3.南方医科 大学解剖教研室,广东 广州 510515
摘    要:
目的探讨3D打印技术结合虚拟手术设计为髋臼骨折患者制定个性化导航模块的可行性方案。方法采集20例临床髋臼骨折薄层CT扫描数据,导入Mimic17.0中进行三维重建、虚拟骨折复位、内固定植入、导航模块设计。将复位骨折模型和导航模块3D打印出实物模型进行手术模拟并进行X线照片和CT扫描,比较虚拟手术与模拟手术导航螺钉长度、方向,是否进入髋关节。结果所有病例均按照虚拟手术设计完成模拟手术,3D模拟手术螺钉进针位置和螺钉长度、方向与数字化设计高度一致,通过导航模块辅助植入螺钉107颗,螺钉长度进行配对t检验P=0.476(P < 0.05),螺钉方向偏差1°~5°的7颗,偏差大于5°的0颗,没有螺钉进入关节腔。结论3D打印结合虚拟手术设计能为髋臼骨折患者制定个性化导航模块,能有效提高内固定植入精确性。3D打印技术结合虚拟手术技术能为髋臼骨折患者制定个性化手术方案。

关 键 词:髋臼骨折   3D打印   导航   虚拟手术   数字化设计
收稿时间:2016-06-21

Application of 3D printing in research of patient-specific intraoperative guides for acetabular fractures
Yi WU, Zhanglin WU, Yongjian SUN, Canjun ZENG, Wenhua HUANG. Application of 3D printing in research of patient-specific intraoperative guides for acetabular fractures[J]. Journal of Molecular Imaging, 2016, 39(4): 379-382. doi: 10.3969/j.issn.1674-4500.2016.04.11
Authors:Yi WU  Zhanglin WU  Yongjian SUN  Canjun ZENG  Wenhua HUANG
Affiliation:1. The Fifth Affiliated Hospital of Southern Medical University, Guangzhou 510900, China;;2. The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China;;3. Department of anatomy, Southern Medical University, Guangzhou 510515, China
Abstract:
ObjectiveTo evaluate the feasibility of the patient-specific intraoperative guides for acetabular fractures through the technolgy of 3D printing and digit design.MethodsTwenty patients with acetabular fractures were collected in this study. Data of CT scanning were imported into Mimics17.0 software for 3D anatomical modeling, virtual fracture reduction, virtual surgery and the design of intraoperative guides. 3D printing technique was used to print the reducted model and the patient-specific intraoperative guides for simulating the surgery. Finally, the real operation was compared with virtual preoperative design in terms of the direction and the length of screws.ResultsA total of 107 screws were implanted with intraoperative guides. The direction of screws were in high accordance with the digital design. The length of screws are compared with Paired-samples T Test and P=0.476. There are 7 screws direction deviation in 1-5°, no screw implangted in the joint.ConclusionThe 3D printing technology combine with virtual surgery for acetabular fractures is feasible and effective to improve patient-specific intraoperative guides planning by surgery simulation in virtual and reality. Secondly, the combination of Three-Dimensional Printing and virtual surgical procedure can provide a patient-specific preoperative planning in acetabular fractures 
Keywords:acetabular fractures  3D printing  navigation  virtual surgery  digit design
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