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世界首例:长征医院用3D打印将患者全颈椎椎体换为钛合金

作者:宝鸡鑫旺 来源:澎湃新闻 日期:2017-08-22 13:19:27 人气:46

  (原标题:世界首例:长征医院用3D打印将患者全颈椎椎体换为钛合金


  今年7月,28岁的小雯将7节颈椎骨中所有椎体,置换成了3D打印的钛合金福彩3D助手假体。这是全球首例全颈椎3D打印人工椎体置换手术。


  DAIZHEJINGTUODETAGANGCONGGUIMENGUANHUILAI。TABEIQUEZHENWEIRUANGUROULIU,JUDADEZHONGLIUSISIDIPANJUZAIJINGZHUI,DIERJIEZHIDIQIJIEJINGZHUIGUDOUBEIQINSHI。


  RUANGUROULIUSHIYIZHONGJIYIFUFADEEXINGZHONGLIU,DUIHUALIAOBUMINGAN。QIEDUANZHONGLIU“HOULU”DEFANGFAYISHI“HUASHANYITIAOLU”:JIANG6JIEJINGZHUIGUZHENGTIQIEXIA,RANHOUZHONGJIANXINDEZHIJIA,LAIXINGSHIJINGZHUIZHICHENGNAODAIDEGONGNENG。


  术后,在X光片里,小雯脑袋和身体之间的连接是前后两段金属。其中,作为主力支撑的3D钛合金福彩3D助手假体14厘米长,有着可以察觉的曲度。


  XIAOWENSHUHOUDEXGUANGPIAN


  SHANGHAIZHANGZHENGYIYUANGUZHONGLIUWAIKEDEXIAOJIANRUSHIZHEICISHOUSHUDEZHUDAO。8YUE7RI,ZAIWEIYUSHANGHAIZHANGZHENGYIYUANDEBANGONGSHILI,XIAOJIANRUNACHUXIAOWENSHUHOUDEXGUANGZHAOPIAN,RENBUZHUDUIPENGPAIXINWENSHUO:“ZHEIGESHUHOUZHAOPIANHENPIAOLIANG。”


  6节,240斤,90%


福彩3D助手  XIAOJIANRUSHIQUANGUOZUIZHIMINGDEJIZHUIWAIKEYISHENGZHIYI,TADEMENWAIZONGSHIDENGYOUCONGQUANGUOGEDIPAOLAIQIUYIDEHUANZHEHUOHUANZHEJIASHU。


  XIAOWENSHIQIZHONGZUIXIONGXIANDEHUANZHEZHIYI。QICHU,TAMEIYOUZAIYISHENTIDEYIXIEJINGGAO,BIRUJINGBUTENGTONG、SHANGZHIWULI。ZHIDAOJINNIAN5YUE,BINGQINGYANZHONGDAOYOUSHOUWUFANADONGXI,TACAIZUOLEXIANGXIDEJIANCHA,BINGBEIZHENDUANWEIRUANGUROULIU。


福彩3D助手  YIBANDEBINGREN,ZHONGLIUHUIQINSHI2-4JIEZHUITI,DANXIAOWENDEZHONGLIUQUEYIZHANGMANTADE6JIEJINGZHUI,ZHONGLIUHAIBAORAOZHUIDONGMAIJIJINGSHENJINGGEN,JINXINGSHOUSHUDEFENGXIANHENDA,SHAOYOUBUSHENJIUHUIMIANLINTANHUANSHENZHISIWANG。ERQIE,XIAOWENZHONG240JIN,BOZICUDUAN,JISHOUSHUZENGJIALENANDU。


福彩3D助手  ZHIDAOXIAOWENDETESHUBINGQINGHOU,TADUIXIAOWENSHUO:“FENGXIAN、NANDUKENDINGSHIJIDADE,ZHEIDEQUESHITIAOZHANXINGLINCHUANGNANTI,DANWOMENYIKUAINULI,BIJINGNIHAIZHEIMENIANQING。”


  JINGUANCIQIANMEIYOUZUOGUOZHEIYANGCHAOCHANGDEQUANJINGZHUIZHUITIZHIHUAN,XIAOJIANRUXINLIYOUDI:ZHANGZHENGYIYUANSHIYAZHOUZUIDADEJIZHUZHONGLIUZHONGXIN,MEINIANYIQIANYUTAIJIZHUZHONGLIUSHOUSHUWEITAJILEILEFENGFUJINGYAN。


福彩3D助手  ZAIXIAOWENZHIQIAN,2016NIAN,XIAOJIANRUDAILINGTUANDUIYIJINGWANCHENGLEYILICONGDISANJIEJINGZHUIDAODIYIJIEXIONGZHUIDE3DDAYINJIATIZHIHUANSHOUSHU。


福彩3D助手  ZAIJIANGXIAOWENTUIJINSHOUSHUSHIQIAN,XIAOJIANRUGUJI,CHENGGONGLVZAI90%ZUOYOU。


  手术准备时间:三周


  SHOUSHUZHENGSHISHISHIQIAN,XIAOJIANRUTUANDUIHUALESANZHOUSHIJIANZAIDINGZHIDERENGONGZHUITIJIATISHANG。


  在选材上没有太多的犹豫,钛合金是骨科植入物的首选材料。它不像不锈钢那样容易电解,人体会产生排异反应。而且,钛合金的强度和硬度较大。


福彩3D助手  JIEXIALAIJIUSHIZHAODAOHESHIDEJIATILE。ZHEIBINGBURONGYI,YINWEIKUAYUEDEZHUIJIESHUDUO、WEIZHITESHU,NENGFUHEXIAOWENXUQIUDEJIATIZAISHIMIANSHANGZHAOBUDAOXIANCHENGDE,XUYAOLIANGSHENDINGZUO。


  左边为根据小雯术前的颈椎打印的3D模型,图中红色粗管为颈动脉,绿色为肿瘤,白色为颈椎;右边为3D打印的钛合金人工椎体,植入小雯脖内的与图中的几乎相同。


  XIAOJIANRUXIANGPENGPAIXINWENJIESHAO,XIAOWENDEJIATISHICONGJING2JIEKAISHI,JING2JIEHEXIAMIANDE5JIEZHUIGUBUTONG,TACHENGZAIHEJING1CEKUAIXIANJIEDEGONGNENG,SUOYIRENGONGZHUITIDEDINGDUANSHEJISHI“TXINGBANHUXING”DUANMIAN。


  ZAIJIATIDESHANGDUANLIANGCE,LIUYOULIANGGEQINGXIEDELUODINGKONG,BIANYULUODINGCHUANGUO,GUDINGYUJING1CEKUAISHANG。ERRENGONGZHUITIDEWEIDUANYOUYIGECHENGZHIJIAOXINGDESHEJI,ZHEIYANG3MEILUODINGKEYININGJINXIONGZHUI,LUODINGDELUOWENHUIQIDAOHENHAODEKANGBACHUXIAOGUO。


  ZHIYUXUANZE3DDAYINLAIZHIZUO,XIAOJIANRUJIESHAO,QIYOUDIANZAIYU,JIATIKEYIZUOCHENGHAIMIANWEIKONGDEJIEGOU。


  “ZHEIGEWEIKONGHERENDEGUXIAOLIANGKONGXICHABUDUODA,ZHEIYANGDEHUA,LINJINDEGUTOUHUIPAJINLAI,SHENGZHANGGUOLAI。”XIAOJIANRUSHUO,ZAITAMENDESHEJIZHONG,TAMENHUIZAISHOUSHUZHONGFANGYIXIETONGZHONGYITIGUFENJINRURENGONGZHUITI,ZUOWEIYOUDAO。


福彩3D助手  ZUIZHONG,JIATIHERENGUKEYISHIXIANRONGHE。“XIANGDANGYUPUTAOTENG,NIBATENGJIADAJIANHAOLE,PUTAOTENGTAJIUHUIPAJINLAI。”XIAOJIANRUDABIFANGSHUO。


福彩3D助手  SHEJIHAOHOU,XIAOJIANRULIANTONGXIAOWENJINGBUDECT、CIGONGZHENTUXIANGYIQI,JIAOJILEBEIJINGAIKANGYILIAOQICAIYOUXIANGONGSI,SHUANGFANGHEZUOYANFACHULEYUXIAOWENQUANJINGZHUIZHUITISHENGLIQUDU、ZHANGDUXIANGPIPEIDEDINGZHIRENGONGZHUITI。


  手术时间:13个小时


  SHOUSHUSHIZAI7YUEJINXING,FENLIANGCI,GONGHAO13GEXIAOSHI。


  JINGZHUIFENQIANHOU,ZAIQIANDESHIFENJIEDEZHUITI,ZAIHOUDESHIZHUIGONGJIZHUIBANJITU,QIANHOUHUANRAOXINGCHENGZHUIKONG。SHANGXIAGUANTONGDEZHUIGUANJIUSHIJINGSUIDESUOZAIZHIDI。CIWAI,ZHUITILIANGCEZHANGYOUHENGTU,ZUOYOUHENGTUKONGLICHUANCHAZHELIANGTIAOZHUIDONGMAI。


  XIAOWENDEDIYICISHOUSHUSHIWANCHENGJINGHOULUDEQIECHUHEZHONGJIAN。JUTIERYAN,XIANCONGHOUCE,JIANGQUANZHUIBANJIHUANCECEKUAIQIECHU,BINGJINXINGHOUFANGZHENJINGYANZHISHANGXIONGZHUIDEDINGBANGNEIGUDINGZHONGJIANSHU。


  隔一周后,再进行第二次手术,完成颈前路椎体及椎旁肿瘤的切除和重建。通过颈前路,肖建如团队将小雯颈2至颈7椎体及右侧椎旁肿瘤整块切除,置换上特制的3D打印钛合金全颈椎人工椎体,上下两端用螺钉固定,用作脖子的主力支撑。


  ZHONGLIUHEZHUIGUZHENGKUAIQIECHUYANGBEN


  ZHIDEYITIDESHI,ZAISHOUSHUDEGUOCHENGZHONG,XIAOJIANRUTUANDUIDOUXUYAOXIAOXINYIYIDIJIANGZHUIGUANZHONGDEYINGMONANGHEJINGSUI、HENGTUKONGZHONGDEZHUIDONGMAI、JINGSHENJINGGENYOULICHULAI,BINGQUEBAOTAMENWANHAOWUSUN。YOUQISHIJINGSUI,YIDANSUNSHANGYIDAOZHIGAOWEITANHUAN。


福彩3D助手  XIAOJIANRUGAOSUPENGPAIXINWEN,XIAOWENDEZHONGLIUYIJINGQINSHILEYICEDEZHUIDONGMAI,YINERQUSHELEZHEITIAOZHUIDONGMAI,BAOLIULINGYITIAOJIANKANGDEZHUIDONGMAI。


福彩3D助手  RUJIN,SHOUSHUYIJINGGUOQUJIZHOU,XIAOWENDEHUIFUQINGKUANGLIANGHAO,YIJINGKEYIZIXINGXIADIZOULU。


福彩3D助手  DANXIAOJIANRUYEDUIPENGPAIXINWENBIAOSHI,ZUOQUANJINGZHUIZHUITIHUAN,SHIWEILECHAOZHANGJUDAJINGZHUIZHONGLIUQIECHUHOUZHONGJIANJINGBUDEZHICHENGGONGNENG。WEILEJINKENENGTIGAOWENGUXING,JIATISHIYITISHIDE,MEIYOURENTIJINGZHUIZHONGDEZHUIJIANPANJIEGOU,SUOYILINGHUOXINGBEISHEQI。RUGUOXIAOWENXIANGZHUANDONGBOZI,TAXUYAOZHENGGESHENTIYIQIXUANZHUAN。


    标签:钛合金
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