通过3D打印可吸收的气道来治疗严重的气管支气管:一个澳大利亚的第一
Jennifer F Ha1, Rick Ohye2, Glenn E Green2
1Department of Paediatrics Otolaryngology Head & Neck Surgery, Perth Children's Hospital, 15 Hospital Avenue, Nedlands, 6009, Western Australia, Australia; School of Surgery, University of Western Australia, Stirling Highway, Crawley, Perth, 6009, Western Australia, Australia; Murdoch ENT, Wexford Medical Center, Suite 17-18, Level 1, 3 Barry Marshall Parade, Murdoch, 6150, Western Australia, Australia.
3D打印的气管片为儿童的严重气管支气管 (TBM) 提供了一种新的治疗方法. 这种创新方法成功治疗了一名对其他疗法没有反应的年轻患者.
科学领域:
- 生物医学工程 生物医学工程
- 儿科手术 儿科手术
- 呼吸系统医学 呼吸系统医学
背景情况:
- 气管支柱骨瘤 (TBM) 涉及由于软骨衰弱而导致的气道崩,通常在两岁时消失.
- 严重的TBM可能会导致儿童的复发性肺炎,长时间的通风和危及生命的事件.
- 在严重的TBM病例中,非侵入性治疗和标准手术程序可能会失败.
研究的目的:
- 报告澳大利亚首例3D打印的气管支架植入严重TBM的病例.
- 为了证明定制设计的3D打印子的可行性,用于复杂的儿科气道条件.
- 评估这种新型治疗在儿科患者的临床结果.
主要方法:
- 一个21个月大的孩子患有严重的TBM,对常规治疗没有反应,接受了3D打印的气管 splint植入.
- 在国际合作下设计了定制,并得到了监管机构的批准.
- 手术涉及体外膜氧化和手术内支气管镜,以精确放置前侧.
主要成果:
- 3D打印的气管成功植入,以解决长段气管.
- 通过灵活的支气管镜检查,在手术期间确认了气道透性.
- 患者在五天后被抽管,在术后仍然在临床上表现良好.
结论:
- 3D打印的气管片代表了严重儿科TBM的可行的替代治疗方法.
- 通过计算机辅助设计和3D打印,可以为TBM创建针对患者的可植入装置.
- 这项技术为复杂的气道形提供了有希望的解决方案.
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