%0 Journal Article %T 3D打印心脏模型在右室双出口术前评估及手术方案制定中的应用价值<br>Clinical value of 3D printed cardiac model in preoperative assessment and surgical planning of double outlet right ventricle %A 赵力运 %A 范太兵 %A 李 %A 斌 %A 周司杰 %A 胡曼曼 %J 郑州大学学报(医学版) %D 2018 %R 10.13705/j.issn.1671-6825.2017.08.115 %X 目的:评估3D打印心脏模型在右室双出口术前评估及手术方案制定中的应用价值。方法:收集2016年3~12月收治的右室双出口患者12例(男3例、女9例)的CT血管造影资料,应用3D打印技术制作心脏模型,比较3D打印心脏模型与术中探查结果的符合程度。结果与结论:3D打印心脏模型可精确显示心脏空间结构,与术中探查符合度高,能够很好地显示主动脉与肺动脉的结构关系、室间隔缺损(VSD)与大动脉的位置、VSD与肺动脉瓣的距离等,可在模型上评估是否可行双心室矫治,并可评估双心室矫治患者内隧道的形态、位置,有利于术中内隧道的建立。3D打印心脏模型有利于右室双出口患者的术前评估和手术方案的制定。<br>Aim: To evaluate the clinical value of three-dimensional(3D)printed model in preoperative assessment and surgical planning of double outlet right ventricle(DORV).Methods: Form March to December 2016, twelve patients(3 males and 9 females)with DORV were collected. The 3D printed cardiac models were created by 3D printing technology and the clinical value of 3D printed cardiac models in surgical strategies was assessed in patients with DORV by comparing the information from 3D printed cardiac models and intraoperative exploration.Results and Conclusion: There was good conformity between 3D printed cardiac models and intraoperative exploration. The relationship between the aorta and the pulmonary artery, the location of the ventricular septal defect(VSD)and the distance between the VSD and the pulmonary artery valve were precisely demonstrated in 3D printed cardiac models. The model could be used to assess whether it was feasible for biventricular repair as well as assess the shape and location of the intracardiac tunnel in biventricular repair patients, which was favorable for the formation of the tunnel. It is expected to use 3D printed cardiac models to provide preoperative assessment and surgical planning %K 先天性心脏病 %K 右室双出口 %K 3D打印模型< %K br> %K congenital heart disease %K double outlet right ventricle %K three-dimensional printed model %U http://jms.zzu.edu.cn/oa/darticle.aspx?type=view&id=201803021