CN104441664A - Spinal operation method with integration of computer simulation and 3D printing - Google Patents
Spinal operation method with integration of computer simulation and 3D printing Download PDFInfo
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Abstract
The invention discloses a spinal operation method with integration of computer simulation and 3D printing. The method comprises the following steps: collecting and processing three-dimensional CT data of the spine of a patient by using MIMICS software, manufacturing a three-dimensional spine rebuilding model in a computer, stereoscopically and accurately displaying the condition of lesions and surrounding tissues, determining operative approach, cutting range and precautions in operation according to the designed operation scheme, finishing virtual operation on the three-dimensional rebuilding model, then printing the full-simulation model of the spinal bone and spinal cord of the paint according to an equal ratio by using the 3D printing technology, carrying out solid model preview, checking the feasibility of the operation scheme; and finally, formally carrying out operation. By virtue of the spinal operation method, doctors can clearly and visually know the condition of the lesions and surrounding tissues before operation, carefully make an individual operation scheme in fit with the practical condition of the patient; operations in the operation are accurate; operation wound is greatly reduced; the hemorrhage during operation is reduced; the operation time is shortened; the operation risk is reduced; the patient recovers quickly after operation; the effect of communication between the doctors and the patients is improved; the cooperation degree of the patients is improved.
Description
Technical field
The invention belongs to 3D and print medical domain, particularly relate to a kind of computer mould quasi-step matrix 3D and print spinal operation method.
Background technology
3D prints, i.e. the one of rapid shaping technique, and it is a kind of based on mathematical model file, uses powdery metal or plastics etc. can jointing material, is carried out the technology of constructed object by the mode successively printed.
3D be printed on medical domain especially field of orthopaedics more and more applied.
Summary of the invention
The object of the present invention is to provide a kind of computer mould quasi-step matrix 3D to print spinal operation method, be intended to the wound, shortening operating time, the reduction operation risk that reduce in spinal operation.
The present invention realizes like this, a kind of computer mould quasi-step matrix 3D prints spinal operation method basic procedure: use MIMICS software collection and process patient's spinal three-dimensional CT data, make spinal three-dimensional reconstruction model in a computer, three-dimensional, accurately show focus and surrounding tissue situation, design operation plan accordingly, specify operative approach, excision extension, points for attention etc. in art, and virtual operation is completed on Three-dimension Reconstruction Model, then, use 3D printing technique, equal proportion prints patient's backbone bone and the full simulation model of spinal cord, carry out physical model preview, the feasibility of checking operation plan, be familiar with operating procedure, final formally enforcement is performed the operation.
Further, the concrete steps that described computer mould quasi-step matrix 3D prints spinal operation method are as follows:
Step one, thin-layer CT scanning is carried out to the spinal segments intending implementing operation, gather the DICOM formatted file of image data;
Step 2, in Mimics software, import DICOM format image file.
The correlation function of basic module in step 3, application Mimics software, according to the density variation of different tissues, isolates the myeloid tissue that backbone bone and intraspinal tube dura mater hold, and carries out three-dimensional reconstruction.Then carry out following three operations, realize three targets: the making of surgical guide and insert application in process at internal fixation screw, computer surgical simulation, the physical model that prints at 3D show experienced surgical procedure.
Further, the making of surgical guide and the application of inserting at internal fixation screw in process, concrete steps are as follows:
The design module of step one, application Mimics software, creates and intends in actual operation the virtual screw of the same size applied;
Step 2, simulate accurate location screw being placed to the backbone rebuild in a computer;
The screw that step 3, basis are inserted, runners;
Step 4, guide plate is exported as Stl formatted file, and import 3D printer, print entity guide plate;
Step 5, in actual operation operating process, accurately insert screw according to guide plate;
Step 6, realize accurately inserting of internal fixtion.
Further, the concrete steps of computer surgical simulation are as follows:
The surgical simulation module of step one, application Mimics software, designs operation plan on computers, and repeatedly carries out the simulated operation such as decompression and lesion resection;
Step 2, establish accurate operative approach and excision extension, specify the potential risk that may run in art, and formulate and evade scheme;
Step 3, realize the target of computer surgical simulation.
Further, the concrete steps that the physical model printed at 3D shows experienced surgical procedure are as follows:
Step one, the 3-dimensional image data of rebuilding in basic module is exported as Stl form, and import 3D printer;
Step 2, equal proportion print the full simulation model of backbone bone and spinal cord;
Step 3, on simulation model simulation implement spinal canal decompression, internal fixation screw and insert and the operation such as lesion resection;
Step 4, realize physical model operation preview, checking operation plan feasibility.
effect gathers
The present invention is by patient's spinal three-dimensional dummy model and 3D physical model, doctor is able to clear in the preoperative, understand pathology and surrounding tissue situation intuitively, careful formulation suits the individualized surgical planning of patient's reality, and carry out simulated maneuver, guarantee that Preoperative Method is abundant, in art, operation precisely, substantially reduce operation wound, decrease intraoperative hemorrhage, shorten operation consuming time, reduce operation risk, patient's post-operative recovery is fast, in addition, doctor also can computer analog demenstration and 3D printer model allow patient intuitively understand self state of an illness and surgery planning in the preoperative, enhance doctor patient communication effect, improve patient compliance's degree, the present invention is also for clinic offers convenience, medico can be made to accept more efficiently surgery training, Practical Teaching quality.
Accompanying drawing explanation
Fig. 1 is that the computer mould quasi-step matrix 3D that the embodiment of the present invention provides prints spinal operation method flow diagram.
Detailed description of the invention
In order to make object of the present invention, technical scheme and advantage clearly understand, below in conjunction with drawings and Examples, the present invention is further elaborated.Should be appreciated that specific embodiment described herein only in order to explain the present invention, be not intended to limit the present invention.
Fig. 1 shows computer mould quasi-step matrix 3D of the present invention and prints spinal operation method flow diagram, as shown in the figure, the present invention realizes like this, a kind of computer mould quasi-step matrix 3D prints spinal operation method basic procedure: use MIMICS software collection and process patient's spinal three-dimensional CT data, make spinal three-dimensional reconstruction model in a computer, three-dimensional, accurately show focus and surrounding tissue situation, design operation plan accordingly, specify operative approach, excision extension, points for attention etc. in art, and virtual operation is completed on Three-dimension Reconstruction Model, then, use 3D printing technique, equal proportion prints patient's backbone bone and the full simulation model of spinal cord, carry out physical model preview, the feasibility of checking operation plan, be familiar with operating procedure, final formally enforcement is performed the operation.
Further, the concrete steps that described computer mould quasi-step matrix 3D prints spinal operation method are as follows:
Step one, thin-layer CT scanning is carried out to the spinal segments intending implementing operation, gather the DICOM formatted file of image data;
Step 2, in Mimics software, import DICOM format image file.
The correlation function of basic module in step 3, application Mimics software, according to the density variation of different tissues, isolates the myeloid tissue that backbone bone and intraspinal tube dura mater hold, and carries out three-dimensional reconstruction.Then carry out following three operations, realize three targets: the making of surgical guide and insert application in process at internal fixation screw, computer surgical simulation, the physical model that prints at 3D show experienced surgical procedure.
Further, the making of surgical guide and the application of inserting at internal fixation screw in process, concrete steps are as follows:
The design module of step one, application Mimics software, creates and intends in actual operation the virtual screw of the same size applied;
Step 2, simulate accurate location screw being placed to the backbone rebuild in a computer;
The screw that step 3, basis are inserted, runners;
Step 4, guide plate is exported as St1 formatted file, and import 3D printer, print entity guide plate;
Step 5, in actual operation operating process, accurately insert screw according to guide plate;
Step 6, realize accurately inserting of internal fixtion.
Further, the concrete steps of computer surgical simulation are as follows:
The surgical simulation module of step one, application Mimics software, designs operation plan on computers, and repeatedly carries out the simulated operation such as decompression and lesion resection;
Step 2, establish accurate operative approach and excision extension, specify the potential risk that may run in art, and formulate and evade scheme;
Step 3, realize the target of computer surgical simulation.
Further, the concrete steps that the physical model printed at 3D shows experienced surgical procedure are as follows:
Step one, the 3-dimensional image data of rebuilding in basic module is exported as Stl form, and import 3D printer;
Step 2, equal proportion print the full simulation model of backbone bone and spinal cord;
Step 3, on simulation model simulation implement spinal canal decompression, internal fixation screw and insert and the operation such as lesion resection;
Step 4, realize physical model operation preview, checking operation plan feasibility.
The present invention is by patient's spinal three-dimensional dummy model and 3D physical model, doctor is able to clear in the preoperative, understand pathology and surrounding tissue situation intuitively, careful formulation suits the individualized surgical planning of patient's reality, and carry out simulated maneuver, guarantee that Preoperative Method is abundant, in art, operation precisely, substantially reduce operation wound, decrease intraoperative hemorrhage, shorten operation consuming time, reduce operation risk, patient's post-operative recovery is fast, check internal fixation nail rod position and screw placement direction and length to mate completely with preoperative modeling scheme, deformity of spine is corrected satisfied, spinal stability obtains perfect reconstruction, in addition, doctor also can computer analog demenstration and 3D printer model allow patient intuitively understand self state of an illness and surgery planning in the preoperative, enhance doctor patient communication effect, improve patient compliance's degree.Technique also offers convenience for clinic, medico can be made to accept more efficiently surgery training, Practical Teaching quality.
By reference to the accompanying drawings the specific embodiment of the present invention is described although above-mentioned; but not limiting the scope of the invention; one of ordinary skill in the art should be understood that; on the basis of technical scheme of the present invention, those skilled in the art do not need to pay various amendment or distortion that performing creative labour can make still within protection scope of the present invention.
Claims (5)
1. a computer mould quasi-step matrix 3D prints spinal operation method, it is characterized in that, described computer mould quasi-step matrix 3D prints spinal operation approach application MIMICS software collection and processes patient's spinal three-dimensional CT data, make spinal three-dimensional reconstruction model in a computer, three-dimensional, accurately show focus and surrounding tissue situation, design operation plan accordingly, specify operative approach, excision extension, points for attention in art, and virtual operation is completed on Three-dimension Reconstruction Model, then, use 3D printing technique, equal proportion prints patient's backbone bone and the full simulation model of spinal cord, carry out physical model preview, the feasibility of checking operation plan, be familiar with operating procedure, final formally enforcement is performed the operation.
2. computer mould quasi-step matrix 3D as claimed in claim 1 prints spinal operation method, it is characterized in that, the concrete steps that described computer mould quasi-step matrix 3D prints spinal operation method are as follows:
Step one, thin-layer CT scanning is carried out to the spinal segments intending implementing operation, gather the DICOM formatted file of image data;
Step 2, in Mimics software, import DICOM format image file.
The correlation function of basic module in step 3, application Mimics software, according to the density variation of different tissues, isolates the myeloid tissue that backbone bone and intraspinal tube dura mater hold, and carries out three-dimensional reconstruction.Then carry out following three operations, realize three targets: the making of surgical guide and insert application in process at internal fixation screw, computer surgical simulation, the physical model that prints at 3D show experienced surgical procedure.
3. computer mould quasi-step matrix 3D as claimed in claim 1 prints spinal operation method, it is characterized in that, the making of surgical guide and the application of inserting at internal fixation screw in process, and concrete steps are as follows:
The design module of step one, application Mimics software, creates and intends in actual operation the virtual screw of the same size applied;
Step 2, simulate accurate location screw being placed to the backbone rebuild in a computer;
The screw that step 3, basis are inserted, runners;
Step 4, guide plate is exported as Stl formatted file, and import 3D printer, print entity guide plate;
Step 5, in actual operation operating process, accurately insert screw according to guide plate;
Step 6, realize accurately inserting of internal fixtion.
4. computer mould quasi-step matrix 3D as claimed in claim 1 prints spinal operation method, and it is characterized in that, the concrete steps of computer surgical simulation are as follows:
The surgical simulation module of step one, application Mimics software, designs operation plan on computers, and repeatedly carries out the simulated operation of decompression and lesion resection;
Step 2, establish accurate operative approach and excision extension, specify the potential risk run in art, and formulate and evade scheme;
Step 3, realize the target of computer surgical simulation.
5. computer mould quasi-step matrix 3D as claimed in claim 1 prints spinal operation method, it is characterized in that, the concrete steps of showing experienced surgical procedure at the physical model of 3D printing are as follows:
Step one, the 3-dimensional image data of rebuilding in basic module is exported as Stl form, and import 3D printer;
Step 2, equal proportion print the full simulation model of backbone bone and spinal cord;
Step 3, on simulation model simulation implement spinal canal decompression, internal fixation screw and insert the operation with lesion resection;
Step 4, realize physical model operation preview, checking operation plan feasibility.
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Cited By (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104729904A (en) * | 2015-03-31 | 2015-06-24 | 中国石油大学(华东) | Complicated rock core preparation method based on CT scanning and 3D printing |
| CN104799924A (en) * | 2015-04-28 | 2015-07-29 | 黄若景 | Preparation method of 3D (three-dimensional) printing orthopaedic fixation device |
| CN105250062A (en) * | 2015-11-20 | 2016-01-20 | 广东康沃森医疗科技有限责任公司 | 3D printing skeleton correcting brace manufacturing method based on medical images |
| CN105741354A (en) * | 2016-03-22 | 2016-07-06 | 陈继营 | Preoperative hip joint deformity bone model manufacturing method based on 3D printing technology |
| CN106175998A (en) * | 2016-07-08 | 2016-12-07 | 李鹏 | A kind of personalized prosthese and preparation method thereof and using method |
| CN107157580A (en) * | 2017-06-27 | 2017-09-15 | 刘大鹏 | A kind of Digital location minimally invasive spine surgical 3D printing guide plate and preparation method |
| CN107160695A (en) * | 2017-06-28 | 2017-09-15 | 芜湖启泽信息技术有限公司 | A kind of 3D printing medical system of remote control |
| WO2018166123A1 (en) * | 2017-03-15 | 2018-09-20 | 麦递途工贸（上海）有限公司 | Method for generating description information about human body orthopedic implant |
| WO2018166124A1 (en) * | 2017-03-15 | 2018-09-20 | 麦递途工贸（上海）有限公司 | Method for generating description information about surgical positioning guide apparatus |
| CN108720923A (en) * | 2018-04-02 | 2018-11-02 | 王成功 | Householder method is fixed in fracture of calcaneus closed reduction based on digitlization 3D printing tool |
| CN109250233A (en) * | 2018-09-18 | 2019-01-22 | 珠海格力电器股份有限公司 | The packing method and device of object to be packaged |
| CN110223391A (en) * | 2019-06-24 | 2019-09-10 | 秒针信息技术有限公司 | The 3D printing method and device of the three-dimensional stereo model of bone |
| CN110415775A (en) * | 2019-07-19 | 2019-11-05 | 丁浩男 | A kind of one-stop platform of digital medical |
| CN111529063A (en) * | 2020-05-26 | 2020-08-14 | 广州狄卡视觉科技有限公司 | Operation navigation system and method based on three-dimensional reconstruction multi-mode fusion |
| CN111920520A (en) * | 2020-08-07 | 2020-11-13 | 重庆医科大学 | Test method for optimizing hearing reconstruction scheme by adopting simulation mould |
| CN113476140A (en) * | 2021-08-10 | 2021-10-08 | 贺世明 | Method and system for implanting fixing screw in spine under assistance of augmented reality |
| CN113539036A (en) * | 2021-07-22 | 2021-10-22 | 四川省医学科学院·四川省人民医院 | Immersive neurosurgery simulation method with real touch |
| CN113696484A (en) * | 2021-08-27 | 2021-11-26 | 吉林大学 | Method for manufacturing human transparent vertebral canal cavity by applying 3D printing technology |
| CN114119872A (en) * | 2021-11-25 | 2022-03-01 | 四川大学华西医院 | Method for analyzing 3D printing intraspinal plants based on artificial intelligence big data |
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Cited By (23)
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| CN104729904A (en) * | 2015-03-31 | 2015-06-24 | 中国石油大学(华东) | Complicated rock core preparation method based on CT scanning and 3D printing |
| CN104729904B (en) * | 2015-03-31 | 2017-07-28 | 中国石油大学(华东) | A kind of complicated rock core preparation method based on CT scan and 3D printing |
| CN104799924A (en) * | 2015-04-28 | 2015-07-29 | 黄若景 | Preparation method of 3D (three-dimensional) printing orthopaedic fixation device |
| CN105250062A (en) * | 2015-11-20 | 2016-01-20 | 广东康沃森医疗科技有限责任公司 | 3D printing skeleton correcting brace manufacturing method based on medical images |
| CN105741354A (en) * | 2016-03-22 | 2016-07-06 | 陈继营 | Preoperative hip joint deformity bone model manufacturing method based on 3D printing technology |
| CN106175998A (en) * | 2016-07-08 | 2016-12-07 | 李鹏 | A kind of personalized prosthese and preparation method thereof and using method |
| CN108618842A (en) * | 2017-03-15 | 2018-10-09 | 麦递途医疗科技（上海）有限公司 | A method of the description information for generating human body orthopaedics implant |
| WO2018166123A1 (en) * | 2017-03-15 | 2018-09-20 | 麦递途工贸（上海）有限公司 | Method for generating description information about human body orthopedic implant |
| WO2018166124A1 (en) * | 2017-03-15 | 2018-09-20 | 麦递途工贸（上海）有限公司 | Method for generating description information about surgical positioning guide apparatus |
| CN107157580B (en) * | 2017-06-27 | 2020-01-03 | 刘大鹏 | 3D printing guide plate for digital positioning spinal minimally invasive surgery and preparation method |
| CN107157580A (en) * | 2017-06-27 | 2017-09-15 | 刘大鹏 | A kind of Digital location minimally invasive spine surgical 3D printing guide plate and preparation method |
| CN107160695A (en) * | 2017-06-28 | 2017-09-15 | 芜湖启泽信息技术有限公司 | A kind of 3D printing medical system of remote control |
| CN108720923A (en) * | 2018-04-02 | 2018-11-02 | 王成功 | Householder method is fixed in fracture of calcaneus closed reduction based on digitlization 3D printing tool |
| CN108720923B (en) * | 2018-04-02 | 2019-10-08 | 王成功 | Householder method is fixed in fracture of calcaneus closed reduction based on digitlization 3D printing tool |
| CN109250233A (en) * | 2018-09-18 | 2019-01-22 | 珠海格力电器股份有限公司 | The packing method and device of object to be packaged |
| CN110223391A (en) * | 2019-06-24 | 2019-09-10 | 秒针信息技术有限公司 | The 3D printing method and device of the three-dimensional stereo model of bone |
| CN110415775A (en) * | 2019-07-19 | 2019-11-05 | 丁浩男 | A kind of one-stop platform of digital medical |
| CN111529063A (en) * | 2020-05-26 | 2020-08-14 | 广州狄卡视觉科技有限公司 | Operation navigation system and method based on three-dimensional reconstruction multi-mode fusion |
| CN111920520A (en) * | 2020-08-07 | 2020-11-13 | 重庆医科大学 | Test method for optimizing hearing reconstruction scheme by adopting simulation mould |
| CN113539036A (en) * | 2021-07-22 | 2021-10-22 | 四川省医学科学院·四川省人民医院 | Immersive neurosurgery simulation method with real touch |
| CN113476140A (en) * | 2021-08-10 | 2021-10-08 | 贺世明 | Method and system for implanting fixing screw in spine under assistance of augmented reality |
| CN113696484A (en) * | 2021-08-27 | 2021-11-26 | 吉林大学 | Method for manufacturing human transparent vertebral canal cavity by applying 3D printing technology |
| CN114119872A (en) * | 2021-11-25 | 2022-03-01 | 四川大学华西医院 | Method for analyzing 3D printing intraspinal plants based on artificial intelligence big data |
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Effective date of registration: 20161024 Address after: 266000 Shandong Province, Qingdao city Jiangsu Road No. 16 Applicant after: Affiliated Hospital of University Of Qingdao Address before: 266000 Shandong Province, Qingdao city Jiangsu Road No. 16 Applicant before: Ma Xuexiao |
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