[1]许 果,熊 伟,白上林,等.3D打印技术辅助治疗复杂B型主动脉夹层和腹主动脉瘤的治疗分析[J].介入放射学杂志,2025,34(09):943-949.[doi:10.3969/j.issn.1008-794X.2025.09.006]
　XU Guo,XIONG Wei,BAI Shanglin,et al.Application of 3D printing technology in the adjuvant treatment of complex Stanford type B aortic dissection and abdominal aortic aneurysm[J].J Intervent Med,2025,34(09):943-949.[doi:10.3969/j.issn.1008-794X.2025.09.006]
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3D打印技术辅助治疗复杂B型主动脉夹层和腹主动脉瘤的治疗分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
34
期数:
2025年09
页码:
943-949
栏目:
血管介入
出版日期:
2025-09-25

文章信息/Info

Title:
Application of 3D printing technology in the adjuvant treatment of complex Stanford type B aortic dissection and abdominal aortic aneurysm
文章编号:
1008-794X(2025)-009-0943-07
作者:
许 果;  熊 伟;  白上林;  吴 旭;  熊 琪;  赵良鑫;  熊志阳
621000 四川绵阳 绵阳四〇四医院(绵阳市第一人民医院)心脏大血管外科
Author(s):
XU Guo; XIONG Wei; BAI Shanglin; WU Xu; XIONG Qi; ZHAO Liangxin; XIONG Zhiyang.
Department of Cardiac and Macrovascular Surgery,Mianyang No.404 Hospital(Mianyang Municipal First People's Hospital),Mianyang,Sichuan Province 621000,China
关键词:
复杂B型主动脉夹层;  腹主动脉瘤;  3D打印技术;  辅助治疗;  应用效果
分类号:
R543.1; R816.2
DOI:
10.3969/j.issn.1008-794X.2025.09.006
文献标志码:
A
摘要:
目的 探讨3D打印技术在辅助治疗复杂B型主动脉夹层(SBAD)和腹主动脉瘤患者中的作用。方法 回顾性分析2022年1月至2024年1月绵阳四〇四医院收治64例复杂SBAD患者和64例腹主动脉瘤患者的临床资料。复杂SBAD患者中33例接受术前3D打印技术(观察组1)、31例采取术前常规检查(对照组1); 腹主动脉瘤患者32例接受术前3D打印技术辅助(观察组2)、32例采取术前常规检查(对照组2)。分析观察组1、观察组2患者经3D打印技术获得3D塑料模型不同阶段的解剖结构左右径(LR)、前后径(AP)变化; 比较观察组1和对照组1、观察组2和对照组2患者围术期情况。结果 复杂SBAD患者,S2(STL模型)阶段的降主动脉膈肌水平LR均明显高于S1(CTA图)、S3(塑料模型)阶段(P<0.05),S2阶段的降主动脉膈肌水平AP高于S3阶段(P<0.05); S3阶段的头臂干LR均明显低于S1、S2阶段(P<0.05),S3阶段的头臂干AP均明显高于S1、S2阶段(P<0.05),S2阶段的头臂干AP高于S1阶段(P<0.05); S3阶段的左颈总动脉LR均明显高于S1、S2阶段(P<0.05),S2阶段的左颈总动脉LR高于S1阶段(P<0.05),S3阶段的左颈总动脉AP低于S1阶段(P<0.05); S3阶段的左锁骨下动脉LR和AP均明显高于S1、S2阶段(P<0.05)。腹主动脉瘤患者,S3阶段的瘤颈LR、AP均明显高于S1阶段(P<0.05),S3阶段瘤颈AP明显高于S2阶段(P<0.05); S3、S2阶段的瘤体LR、AP均明显高于S1阶段(P<0.05),S3阶段的瘤体LR、AP均明显高于S2阶段(P<0.05); S3、S2阶段的腹主动脉分叉LR均明显高于S1阶段(P<0.05),S3阶段的腹主动脉分叉LR均明显高于S2阶段(P<0.05),S3阶段的腹主动脉分叉AP均明显低于S1阶段(P<0.05); S3阶段的左髂总动脉AP均明显低于S1阶段(P<0.05)。观察组1复杂SBAD患者的手术时间、血管腔内操作时间、住院时间均明显短于对照组1(P<0.05),术中出血量、对比剂用量均低于对照组1(P<0.05)。观察组2腹主动脉瘤患者的手术时间、血管腔内操作时间、住院时间均明显短于对照组2(P<0.05),术中出血量、对比剂用量均低于对照组2(P<0.05)。复杂SBAD患者、腹主动脉瘤患者在术后6个月复查时均未出现内漏、支架移位情况。结论 3D打印技术有助于精准测量复杂SBAD、腹主动脉瘤患者病变部位解剖结构,术前3D塑料模型预演手术可缩短手术时间、住院时间和减少对比剂用量,且不影响手术疗效。

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(收稿日期:2024-11-18)

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备注/Memo

备注/Memo:
基金项目: 四川省医学会2023年科研课题(S22055)
通信作者: 许 果 E-mail:15908215852@163.com
更新日期/Last Update: 2025-09-25