多类型数字影像拟合及3D打印技术在髁突肿瘤中的运用

doi:10.13701/j.cnki.kqyxyj.2021.01.018

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (1): 81-86.DOI: 10.13701/j.cnki.kqyxyj.2021.01.018

多类型数字影像拟合及3D打印技术在髁突肿瘤中的运用

马文¹, 韦意^2#, 陆琳³, 付帅¹, 张长彬¹, 崔庆赢¹, 彭灿邦¹, 王立冬¹, 许艳华^4*, 黎明^1*

1.昆明医科大学附属口腔医院口腔颌面外科云南昆明 650101;
2.荔波县妇幼保健院口腔科贵州荔波 558400;
3.昆明医科大学第一附属医院影像科云南昆明 650032;
4.昆明医科大学附属口腔医院正畸科云南昆明 650101

收稿日期:2020-06-11 出版日期:2021-01-28 发布日期:2021-01-22
通讯作者: *黎明,E-mail: 1020513890@qq.com; 许艳华,E-mail: xuyanhua18@163.com
作者简介:马文(1988~ )男,云南昆明人,回族,博士在读,住院医师,主要从事颌面外科的临床及研究工作。韦意(1987~ )男,贵州荔波县人,水族,学士,口腔医师,主要从事口腔疾病相关治疗工作。#为共同第一作者
基金资助:
国家自然科学基金(编号:81960195); 云南省昆医联合项目-面上项目[编号:202001AY070001-250]

Application of Multi types of Digital Images Matching and 3D Printing Technology in the Treatment of Condylar Tumor

MA Wen¹, WEI Yi^2#, LU Lin³, FU Shuai¹, ZHANG Changbin¹, CUI Qingying¹, PENG Canbang¹, WANG Lidong¹, XU Yanhua^4*, LI Ming^1*

1. Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650101, China;
2. Department of Stomatology, Libo Maternal and Child Health Care Hospital, Libo 558400, China;
3. Department of Radiology, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China;
4. Department of Orthodontics, Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650101, China

Received:2020-06-11 Online:2021-01-28 Published:2021-01-22

摘要/Abstract

摘要： 目的: 探讨多类型数字影像拟合及3D打印技术在治疗髁突肿瘤中的临床意义。方法: 基于患者螺旋CT数据,血管CTA数据,牙齿3D扫描数据,联合运用软件Mimics 21.0 (Materialise, Belgium)重建患者上下颌骨、面部软组织、髁突肿瘤及周围重要解剖结构,并运用牙齿3D扫描数据与螺旋CT上下颌骨牙齿数据拟合,运用血管及软组织数据与颌骨数据拟合,最终在同一空间坐标系下得到包含有精确牙齿信息、髁突肿瘤及周围血管的上下颌骨复合体三维模型。设计并制作3D打印颌板辅助手术。结果: 6例患者均顺利完成手术,创口均一期愈合,所有患者咬合关系恢复良好,术后术后复查CBCT示骨瘤完整切除,长期随访未见关节强直及复发征象。结论: 多类型数字影像拟合及3D打印颌板可以精确重建髁突肿瘤及周围血管等重要解剖结构,便于术前充分了解术区情况,同时设计个性化颌板辅助手术,为手术创造空间,减少术区周围组织的损伤,该方法: 可作为治疗髁突肿瘤患者的一种辅助手段运用。

关键词: 影像拟合, 3D打印, 髁突肿瘤

Abstract: Objective: To investigate the clinical significance of multiple types of digital images matching and 3D printing technology in the treatment of condylar tumors. Methods: According to patient's spiral CT data, CTA data of blood vessels, 3D scanning data of teeth, the maxillary, mandible, soft tissue and condylar tumors with surrounding important anatomic structures were reconstructed using Mimics 21.0(Materialise, Belgium). Then, matching the 3D scanning of teeth with bones data from spiral CT, matching the soft tissue with bones. Finally, in the same coordinate system, the three-dimensional model of the maxillary and mandible complex with tooth information, condylar tumors and surrounding blood vessels were obtained. Designing and 3D printing splint was assisted operation. Results: All 6 patients were underwent the operation successfully with the wounds healed at the same time. The occlusal relationship of all patients were well. The postoperative CBCT showed that complete resection of tumors and no signs of recurrence were found in long term follow-up. Conclusion: Multi types digital image matching and 3D printing splint could accurately reconstruct the important anatomic structures such as condylar tumors and peripheral blood vessels, so as to fully understand the operation area before operation. At the same time, personalized 3D splint was designed to create space for operation and reduce the damage of surrounding tissues. This method could be used as an auxiliary way to treat patients with condylar tumors.

Key words: Image matching, 3D printing, Condylar tumors

马文, 韦意, 陆琳, 付帅, 张长彬, 崔庆赢, 彭灿邦, 王立冬, 许艳华, 黎明. 多类型数字影像拟合及3D打印技术在髁突肿瘤中的运用[J]. 口腔医学研究, 2021, 37(1): 81-86.

MA Wen, WEI Yi, LU Lin, FU Shuai, ZHANG Changbin, CUI Qingying, PENG Canbang, WANG Lidong, XU Yanhua, LI Ming. Application of Multi types of Digital Images Matching and 3D Printing Technology in the Treatment of Condylar Tumor[J]. Journal of Oral Science Research, 2021, 37(1): 81-86.

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多类型数字影像拟合及3D打印技术在髁突肿瘤中的运用

Application of Multi types of Digital Images Matching and 3D Printing Technology in the Treatment of Condylar Tumor

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