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定制动态3D打印假肢用于胸壁重建:一个多中心研究.

Jose Ramón Cano1, Unai Jiménez2, Juan Carlos Trujillo3

  • 1Thoracic Surgery Department, Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Spain.

JTCVS techniques
|December 10, 2025
PubMed
概括

动态3D打印假肢为复杂的胸壁重建提供了灵活而稳定的解决方案. 这项多中心研究表明,它们是可行的和安全的,在具有挑战性的胸部病例中具有良好的结果.

关键词:
通过3D打印打印3D打印.胸部墙壁重建的重建工作定制制作的假肢动态植入物植入物动态植入物患者特定的植入物植入物.硬骨和肋骨的切除.胸部外科手术 胸部外科手术

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科学领域:

  • 生物医学工程 生物医学工程
  • 胸部外科手术 胸部外科手术
  • 材料科学 材料科学 材料科学

背景情况:

  • 复杂的胸壁缺陷需要创新的重建解决方案.
  • 传统的刚性植入物可能在解剖学适应性和灵活性方面存在局限性.

研究的目的:

  • 评估动态,三维 (3D) 定制假肢的技术可行性和手术安全性,用于复杂的胸壁重建.
  • 用3D打印的植入物来评估多中心体验中的结果.

主要方法:

  • 在5家西班牙医院 (2016-2023) 接受51名患者的回顾性观察性研究.
  • 使用定制设计的,类似弹的3D打印植入物用于胸壁重建.
  • 收集有关指示,人口统计,操作细节,并发症和后续结果的数据.

主要成果:

  • 其中包括瘤病 (35),创伤病 (11),传染病 (3) 和功能病 (2).
  • 植入了51个假肢,用于各种硬骨,肋骨,肋骨,脊椎,硬骨关节和胸骨的重建.
  • 平均手术时间为270分钟;中位数的随访时间为2.5年. 发生了四次轻微并发症,没有移除或失败的植入物.

结论:

  • 动态3D定制假肢为刚性植入物提供了稳定而灵活的替代方案.
  • 它们的设计促进了解剖适应和手术内放置,使得安全和可重现的重建成为可能.
  • 对于复杂或功能要求较高的胸部重建,可行且安全的选择,具有有利的中期结果.