3D打印个体化骨盆假体设计及应用

      Design and Application of 3D-Printed Customized Pelvic Prostheses

      • 摘要:
        目的 本文通过3D(three dimension, 3D)打印技术结合设计软件完成个体化骨盆假体的设计和生产,并评估其在临床应用中的可行性和效果。
        方法 本文基于患者解剖结构和生物力学需求,采用数字化重建软件设计个体化骨盆假体,通过3D打印工艺和机加工技术,完成个体化骨盆假体生产,最后通过临床应用验证其可行性。
        结果 本文通过充分的医工交互、详细的术前规划完成对患者肿瘤范围的个体化精确切除;结合骨盆肿瘤分型理论,设计、制造了个体化骨盆假体;经临床应用,该假体符合手术规划并精准植入,术后结果显示骨盆重建完整,愈合良好。
        结论 本文总结前人理论基础,归类不同骨盆缺损分型时假体设计要点;并利用数字化重建软件、通过3D打印技术、机加工工艺设计、制造了个体化的骨盆假体;通过临床应用验证假体设计的可行性和效果,为临床医学在解决骨盆肿瘤截骨后缺损及其他特殊病损方面提供了一种新途径。

         

        Abstract:
        Objective This article presents the design and fabrication of individualized pelvic prostheses by integrating three-dimensional (3D) printing technology with advanced design software, and evaluates their feasibility and clinical efficacy.
        Methods Based on the patient’s anatomy and biomechanical requirements, a patient-specific pelvic prosthesis was designed with digital reconstruction software, manufactured by hybrid additive (3-D printing) and subtractive (machining) techniques, and finally evaluated in clinical practice to confirm its feasibility.
        Results Through intensive surgeon-engineer cooperation and meticulous pre-operative planning, tumor resection was performed with patient-specific precision. Guided by established pelvic-tumor classification systems, a bespoke prosthesis was designed and fabricated. The implant matched the surgical plan exactly, was inserted without deviation, and post-operative imaging showed complete pelvic reconstruction with satisfactory healing.
        Conclusion By synthesizing previous theoretical work, we summarized design priorities for prostheses addressing different pelvic defect patterns. Digital reconstruction software, 3-D printing technology and precision machining enabled the design and production of individualized pelvic prostheses. Clinical application verified their feasibility and efficacy, offering a practical solution for post-resection defects after pelvic tumor surgery and other special pathological conditions.

         

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