3D打印定位导板在辅助制备股前外侧穿支皮瓣中的临床应用

doi:10.19438/j.cjoms.2022.01.010

中国口腔颌面外科杂志 ›› 2022, Vol. 20 ›› Issue (1): 52-57.doi: 10.19438/j.cjoms.2022.01.010

3D打印定位导板在辅助制备股前外侧穿支皮瓣中的临床应用

史伟红, 刘严, 阿曼妮萨罕·加帕尔, 阿依达娜·乌拉尔别克, 贺琦, 凌彬

新疆医科大学第一附属医院/附属口腔医院口腔颌面肿瘤外科,新疆维吾尔自治区口腔医学研究所,新疆乌鲁木齐 830054

收稿日期:2021-08-04 修回日期:2021-10-13 出版日期:2022-01-20 发布日期:2022-01-20
通讯作者: 凌彬,E-mail：34527623@qq.com
作者简介:史伟红（1992-）,女,在读硕士研究生,E-mail:245725429@qq.com
基金资助:
2020年度新疆维吾尔自治区高校本科教育教学研究和改革项目(PT-2020027)

Clinical application of 3D printed positioning guides in assisted preparation of anterolateral thigh perforator flap

SHI Wei-hong, LIU Yan, AMANNISAHAN·Jiapaer, AYIDANA·Wulaerbieke, HE Qi, LING Bin

Department of Oral and Maxillofacial Oncology, First Affiliated Hospital/Affiliated Stomatological Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Institute of Stomatology. Urumqi 830054, Xinjiang Uygur Autonomous Region, China

Received:2021-08-04 Revised:2021-10-13 Online:2022-01-20 Published:2022-01-20

摘要/Abstract

摘要： 目的: 探讨采用3D打印固定式定位导板制取股前外侧穿支皮瓣中定位穿支血管的准确性和可行性。方法: 收集2019年1月—2020年12月就诊于新疆医科大学第一附属医院/附属口腔医院口腔颌面肿瘤外科,因口腔颌面部软组织缺损需行股前外侧穿支皮瓣修复重建的患者20例。其中,实验组术前3D打印定位导板,术中定位穿支血管并辅助制取股前外侧穿支皮瓣（n=8）;对照组采用常规多普勒超声定位穿支血管并辅助制取股前外侧穿支皮瓣（n=12）。比较2组在皮瓣制取时间、出血量、术后供区外形满意度、下肢功能评定量表（LEFS）评分、穿支血管定位、有无术后皮瓣并发症的差异。采用SPSS 24.0软件包对数据进行统计学分析。结果: 皮瓣制取时间、出血量、术后供区外形满意度、定位穿支血管的差异有统计学意义（P<0.01）;术后皮瓣并发症、LEFS评分差异无统计学意义（P>0.05）。结论: 3D打印固定式定位导板为股前外侧穿支皮瓣穿支血管的定位提供了一种新方法,术中定位血管更准确,提高了手术效率以及患者对术后供区外形恢复的满意度。

关键词: 股前外侧穿支皮瓣, 3D打印, CT血管造影, 固定式定位导板

Abstract: PURPOSE: To investigate the accuracy and feasibility of using 3D-printed fixed positioning guides to locate the perforating vessels in anterolateral thigh perforator flaps. METHODS: Twenty patients who attended the Department of Oral and Maxillofacial Surgery of the First Affiliated Hospital/Affiliated Stomatological Hospital of Xinjiang Medical University from January 2019 to December 2020 and required anterolateral thigh perforator flap transplantation and reconstruction for oral and maxillofacial soft tissue defects were collected. Patients in the experimental group used a 3D-printed positioning guide to intraoperatively locate the perforator vessels and assist in the preparation of the anterolateral thigh perforator flap (n=8), while in patients of the control group, conventional Doppler ultrasound was used to locate the perforator vessels and assist in the preparation of an anterolateral thigh perforator flap (n=12). The two groups were compared in terms of flap preparation time, bleeding volume, postoperative donor site shape satisfaction, LEFS score, penetrating vessel localization, and the presence of postoperative flap complications. SPSS 24.0 software package was used for statistical analysis. RESULTS: The differences in flap preparation time, bleeding volume, postoperative donor site shape satisfaction, and positioning of the penetrating vessels were statistically significant (P<0.01); the differences in postoperative flap complications and LEFS scores were not statistically significant (P>0.05). CONCLUSIONS: 3D-printed fixed positioning guide provides a new method for positioning the perforating vessels of the anterolateral thigh flap, which is more accurately locates the vessels intraoperatively, improves the surgical efficiency, and increases the patient's satisfaction with postoperative recovery of the donor site.

Key words: Anterolateral thigh perforator flap, 3D printing, CT angiography, Fixed positioning guide

中图分类号:

R782.2

史伟红, 刘严, 阿曼妮萨罕·加帕尔, 阿依达娜·乌拉尔别克, 贺琦, 凌彬. 3D打印定位导板在辅助制备股前外侧穿支皮瓣中的临床应用[J]. 中国口腔颌面外科杂志, 2022, 20(1): 52-57.

SHI Wei-hong, LIU Yan, AMANNISAHAN·Jiapaer, AYIDANA·Wulaerbieke, HE Qi, LING Bin. Clinical application of 3D printed positioning guides in assisted preparation of anterolateral thigh perforator flap[J]. China J Oral Maxillofac Surg, 2022, 20(1): 52-57.

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3D打印定位导板在辅助制备股前外侧穿支皮瓣中的临床应用

Clinical application of 3D printed positioning guides in assisted preparation of anterolateral thigh perforator flap

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