[1]刘　夏,张建卿,王庆志.三维重建及快速成型技术在小儿室间隔缺损修补术中的临床应用[J].新乡医学院学报,2016,33(5):418-420.[doi:10.7683/xxyxyxb.2016.05.020]
　LIU Xia,ZHANG Jian-qing,WANG Qing-zhi.Clinical application of three dimensional reconstruction and rapid surgery prototyping in the repair of children with ventricular septal defect[J].Journal of Xinxiang Medical University,2016,33(5):418-420.[doi:10.7683/xxyxyxb.2016.05.020]
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三维重建及快速成型技术在小儿室间隔缺损修补术中的临床应用
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年5
页码:
418-420
栏目:
临床研究
出版日期:
2016-05-05

文章信息/Info

Title:
Clinical application of three dimensional reconstruction and rapid surgery prototyping in the repair of children with ventricular septal defect
作者:
刘　夏1; 2; 张建卿2; 王庆志1
（1.新乡医学院，河南　新乡　453003；2.郑州市第七人民医院心外科，河南　郑州　450006）
Author(s):
LIU Xia1; 2; ZHANG Jian-qing2; WANG Qing-zhi1
（1.Xinxiang Medical University，Xinxiang 453003，Henan Province，China；2.Department of Cardial Surgery,the 7th People′s Hospital of Zhengzhou City，Zhengzhou 450006，Henan Province，China）
关键词:
室间隔缺损; 三维重建; 快速成型技术; 256CT
Keywords:
ventricular septal defect; three dimensional reconstruction; rapid prototype technology; 256CT
分类号:
R541.1
DOI:
10.7683/xxyxyxb.2016.05.020
文献标志码:
A
摘要:
目的　探讨基于256CT数据行室间隔缺损（VSD）患儿病变部位三维重建在小儿VSD修补手术中的应用价值。方法　采集30例VSD患儿的256CT数据，在医用软件Mimics的帮助下行患儿病变部位的三维重建，依据三维重建结果利用快速成型技术打印患儿VSD的实体模型，进行术前评估病情、术中比对并指导手术、术后评判手术效果。结果　30例患儿均在VSD实体模型指导下完成VSD修补术，手术过程顺利。30例患儿术中所见VSD类型、缺损大小与三维重建模型一致。三维重建VSD实体模型测量室间隔缺损平均直径为（7.1±0.2) mm，术中实测VSD平均直径为(7.2±0.2) mm。结论　基于256CT数据进行的患儿病变部位三维重建技术及快速成型技术能够准确地反映VSD类型、缺损大小，为其在心脏外科手术前病情评估及手术预演、术中指导、术后评估奠定基础。
Abstract:
Objective　To explore the application value of three dimensional reconstruction based on data 256CT in the repair of ventricular septal defect(VSD) in children.Methods　The 256CT data of 30 cases with VSD were collected.Three dimensional reconstruction of the lesion site in children was made bymedical software Mimics，and solid model of VSD of children was stamped by rapid prototyping technology based on three dimensional reconstruction results for preoperative evaluation of the disease，intraoperative comparison and guidance of the operation and postoperative evaluation of surgical results.Results　Tirty cases were performed under the guidance of the solid model of the VSD，and the surgical procedure was successful.The type of the VSD and the size of the defect of the 30 cases were consistent with the three-dimensional reconstruction model.The average diameter was (7.1±0.2) mm in solid model of the VSD，which was (7.2±0.2) mm measured in the operation.Conclusion　Three dimensional reconstruction and rapid prototype technology of the lesions in the patients with VSD based on 256CT data can accurately reflect the type of VSD，defect size，providing the foundation of evaluations before cardiac surgery and surgical rehearse，intraoperative guidance，postoperative evaluation.

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更新日期/Last Update: 2016-05-05