[1]乐芳舒 邓明① 程静① 吴旺 常亚男 牟芬 刘梦 薇陈红**.3D打印模型辅助宫腔镜治疗妊娠物残留[J].中国微创外科杂志,2020,01(11):995-999.
　Yue Fangshu*,Deng Ming,Cheng Jing,et al.The 3Dprinted Model Assisted Hysteroscopy in the Treatment of Retained Products of Conception[J].Chinese Journal of Minimally Invasive Surgery,2020,01(11):995-999.
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3D打印模型辅助宫腔镜治疗妊娠物残留()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年11期
页码:
995-999
栏目:
临床研究
出版日期:
2020-11-25

文章信息/Info

Title:
The 3Dprinted Model Assisted Hysteroscopy in the Treatment of Retained Products of Conception
作者:
乐芳舒 邓明① 程静① 吴旺 常亚男 牟芬 刘梦 薇陈红**
（武汉大学中南医院妇产科，武汉430071）
Author(s):
Yue Fangshu*;  Deng Ming;  Cheng Jing;  et al.
*Department of Obstetrics and Gynecology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
关键词:
3D打印模型; 宫腔镜; 妊娠物残留
Keywords:
3D printed model; Hysteroscopy; Retained products of conception
文献标志码:
A
摘要:
目的探讨3D打印技术辅助宫腔镜治疗妊娠物残留的临床价值。方法选择2017年1月~2019年10月行盆腔MRI检查及宫腔镜手术的妊娠物残留46例，按照前瞻性非随机方法分为对照组（n=27）和3D模型组（n=19）。3D模型组利用Mimics Research 20.0软件对MRI数据进行加工处理并建立虚拟模型，导入3D打印机制造子宫实物模型用于术前病情沟通、制定手术方案及术中指导。比较2组手术时间、一次手术成功率、术中出血量、术后住院时间及并发症。结果2组均顺利完成宫腔镜电切术，3D模型组手术时间明显短于对照组［26（21~95）min vs. 55（27~118）min，Z=-3.249，P=0001］。3D模型组并发症发生率为0，对照组为37%（10/27）（P=0.003）。2组术中出血量、术后住院时间、一次手术成功率差异无显著性（P>0.05）。结论3D模型能够清晰地显示子宫的三维结构，可进行妊娠物残留手术难易度预判和精确定位，有助于缩短手术时间，减少手术并发症，提高手术安全性。
Abstract:
ObjectiveTo investigate the clinical efficacy of 3Dprinted model assisted hysteroscopy in the treatment of retained products of conception.MethodsA total of 46 patients with retained products of conception who were admitted to our hospital from January 2017 to October 2019 were included in the study. According to the prospective nonrandom method, the patients were divided into control group (n=27) and 3D model group (n=19). The Mimics Research 20.0 software was used in the 3D model group to process MRI data and establish a virtual model, which was imported into the 3D printer to produce a physical model of uterus for preoperative communication, operation plan formulation and intraoperative guidance. All the patients were treated with hysteroscopy, and the operation time, intraoperative blood loss, success rate, postoperative hospital stay and complications were compared between the 3D printing group and the control group.ResultsAll the patients underwent hysteroscopic electrotomy successfully. The operation time of the 3D model group was significantly shorter than that of the control group ［26 (21-95) min vs. 55 (27-118) min, Z=-3.249, P=0.001］. The complication rate was 0 in the 3D model group and 37% (10/27) in the control group, with statistically significant difference (P=0.003). There were no significant differences in intraoperative blood loss, postoperative hospital stay, or success rate of onestage operation between the two groups (P>0.05).ConclusionThe 3D model can clearly display the 3D structure of the uterus, predict the surgical difficulty and accurately locate the lesions, which is helpful to shorten the operation time, reduce related surgical complications, and improve the surgical safety.

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备注/Memo

备注/Memo:
基金项目：湖北省卫生和计划生育委员会科研联合基金项目（WJ2017H0011）**通讯作者，Email：chen.hong888@126.com ①影像科
更新日期/Last Update: 2021-02-07