使用训练三维模型提高原发性恶性骨肿瘤手术治疗后患者的生活质量。

O Drobotun, V Protsenko, N Ternovyy
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引用次数: 0

摘要

背景:骨肿瘤不仅在原发疾病表现期间,而且在各个治疗阶段均显著降低患者的生活质量(QoL)。目的:利用训练三维模型研究原发性骨恶性肿瘤患者手术前后的生活质量指标。材料与方法:对44例下肢原发性恶性肿瘤(骨肉瘤、软骨肉瘤)进行手术治疗。采用三维建模方法规划手术干预。使用Creatbot D600 3D打印机,采用逐层沉积(Fused deposition Modeling, FDM)方法对病理病灶模型进行3D打印。采用QLQ-C30简化版问卷得分的算术和测量患者手术前和手术后3周的生活质量指数。结果:采用训练三维模型切除肿瘤对患者的生活质量有积极的影响。治疗前平均生活质量指数为7.4±1.2分,治疗后平均生活质量指数为9.4±1.3分,提高27%。结论:训练三维模型的使用不仅实现了个性化治疗策略,提高了患者的生活质量,而且有助于术后康复的优化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Patients' Quality of Life After Surgical Treatment of Primary Malignant Bone Tumors Using a Training 3D Model.

Background: Bone neoplasms significantly reduce the patient's quality of life (QoL) not only during the manifestation of the primary disease but also at various treatment stages.

Aim: To study the QoL indicators in patients with primary malignant bone tumors before and after surgical treatment using a training 3D model.

Materials and methods: 44 patients with primary malignant tumors of the lower extremities (osteosarcoma and chondrosarcoma) were treated by surgery. 3D modeling was used to plan the surgical intervention. 3D printing of the models of the pathological foci was performed by the method of layer-by-layer deposition (Fused Deposition Modeling, FDM) using a Creatbot D600 3D printer. The QoL index of patients before and 3 weeks after surgical treatment was measured by the arithmetic sum of the scores of the QLQ-C30 simplified version questionnaire.

Results: The surgical removal of a tumor using a training 3D model had a positive effect on the QoL of patients. Before treatment, the QoL index was on average 7.4 ± 1.2 points, and after treatment 9.4 ± 1.3 points, that is, by 27% higher.

Conclusions: The use of training 3D models not only implements a strategy of personalized treatment and improves the QoL of patients but also contributes to optimization of the postoperative rehabilitation.

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