基金项目:皖南医学院弋矶山医院引进人才科研基金(YR201403)
目的 探讨3D打印技术在儿童腹膜后肿瘤手术规划及医患沟通中的应用价值。 方法
Objective To explore the application of 3-dimensional(3D)printing in surgical planning for pediatric retroperitoneal tumor(RT)and communication between doctor and patients. Methods From February 2015 to September 2016, 11 RT children received enhanced computed tomography(CT)scanning of whole abdomen. The imaging data were saved in DICOM format. 3D model was reconstructed by MIMICS software by threshold, region growing morphology operation and multi-layer edition. Meanwhile, the data of model were sent to 3D printer. Finally the model was used for surgical planning and doctor-patient communications. Questionnaire was distributed at the same time. Results Clinical 3D models were successfully established by 3D printing. Based upon these models, tumors, adjacent organs and vessels were distinctly delineated. With the assistance of printing models, 8 cases underwent tumorectomy successfully and another 3 cases opted for hospital transfer. On average, the questionnaire results of patient satisfaction were higher than before(P<0.05). And the satisfaction results of surgeon assistants were 9.1±1.5 points. Conclusion Complex relationship between tumor and adjacent tissue may be distinctly delineated by 3D printing models. Moreover, this technique allows for rational individualized surgical planning, improved understanding of disease and better therapeutic compliance.
![表1 11例腹膜后肿瘤患者家属应用3D打印模型交代病情前后正确回答手术相关问题结果[个, 中位数(% )]<br/>Table 1 Results of correctly answering operative questionsbefore and after history-knowing in parents of 11 RT children and after during the application of 3D printing model[n, median(%)]](2017年05期/pic04.jpg)
