3D打印技术救治罕见心脏病患儿

2017-08-04 丁好奇 环球医学

近日,上海交通大学医学院附属上海儿童医学中心运用3D打印技术,定制了1:1胸骨“外壳”,成功为一名罕见的先天性发育畸形患儿实施了胸骨缺如修补手术,让其外挂的心脏重新回到胸内。中国医生好样的!

导语:为中国医生点赞!

近日,上海交通大学医学院附属上海儿童医学中心运用3D打印技术,定制了1:1胸骨“外壳”,成功为一名罕见的先天性发育畸形患儿实施了胸骨缺如修补手术,让其外挂的心脏重新回到胸内。中国医生好样的!

患儿今年6岁,所患的是世界上非常罕见的一种先天性发育畸形,其下1/2胸骨缺损,缺损处最宽为8公分,最长为12公分,导致心脏悬挂于腹腔。

经过医院心胸外科和心血管内科专家的联合会诊证实,患者患的是Cantrell五联征。Cantrell五联征是世界上非常罕见的一种先天性发育畸形,发病率在百万分之五以下,目前能查阅到的最新统计结果显示,此病在全球范围仅200多例,国内仅报道过10余例。它包括5种畸形:胸骨裂胸骨下段缺损、膈肌前部半月形缺损、心包壁层缺如与腹腔交通、脐上腹壁缺损脐疝和心脏畸形。患者不仅胸骨缺损、心脏外置,还有完全性心内膜垫缺损、右室双出口、肺动脉瓣狭窄、二三尖瓣返流等畸形。

自出生起,患者的心脏就像挂饰般吊在胸前,心脏高于剑突下皮肤。从外观上,人们可以清晰看出心脏在表皮下跳动。当地医生曾判断患儿“活不过两岁”。7月初,由上海闵行区对口援建的泽普县向正在喀什二院工作的儿中心援疆医生张磊转诊了这位罕见的心脏外置病例。之后,患者在家乡泽普县的诊室接受泽普、喀什、上海的医生“三地连线会诊”,上海儿童医学中心心脏中心心胸外科主任医师刘锦纷教授与张海波教授会诊后最终“拍板”:“我们能救这孩子!”

医疗团队经过反复讨论,通过影像检查和3D打印技术,运用生物相融性好、弹性大且硬度高的聚醚醚酮(PEEK,具有耐高温、耐化学药品腐蚀等物理化学性能,是一类半结晶高分子材料)材料为患儿量身定制了1:1胸骨“外壳”。据了解,该材料不易与其他组织粘连,有利于后续治疗的开展。

刘锦纷教授介绍,此类患儿最佳的手术时机在1~2岁。此前,儿中心曾救治过3例类似患者。虽然患者已经6岁,但是身体情况平稳,其自身达成了循环的平衡。相较于心脏矫治,心脏保护的治疗更迫在眉睫。患儿即将入学,其外置的心脏极有可能由于外部碰撞而受到严重损伤,危及生命。同时,尽快矫治可避免外置心脏对孩子的心理发展会产生不良影响。

目前,医生已将患儿缺损的胸骨完全修补好,为孩子将来进行正常的学习生活提供了安全保障,将对孩子的病情发展进行随访,适时干预。

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1977896, encodeId=336b19e7896d6, content=<a href='/topic/show?id=53361230f8' target=_blank style='color:#2F92EE;'>#3D打印技术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1230, encryptionId=53361230f8, topicName=3D打印技术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30f5146, createdName=zz70, createdTime=Mon Apr 09 08:18:00 CST 2018, time=2018-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1335986, encodeId=f5cf13359861d, content=<a href='/topic/show?id=792612047e' target=_blank style='color:#2F92EE;'>#3D#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1204, encryptionId=792612047e, topicName=3D)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/pSGl6CJeZ2PzWxdhCtrvv4U9Q281RV8e0AKmlB5ib93DibbiaRyOzmkCdz5F04cbfX5RGOpG4dOXvuQW1fumibVeBg/132, createdBy=fc342500110, createdName=ms9833124466084992, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1467221, encodeId=353a146e221c3, content=<a href='/topic/show?id=ef32e9539e8' target=_blank style='color:#2F92EE;'>#罕见#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79539, encryptionId=ef32e9539e8, topicName=罕见)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=29f36868190, createdName=syscxl, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230345, encodeId=ef8d2303455d, content=太好了,以后会更棒的, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Aug 05 12:06:47 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230023, encodeId=0ea923002334, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=7dcf1938111, createdName=1e0e5a1fm42(暂无匿称), createdTime=Fri Aug 04 18:17:55 CST 2017, time=2017-08-04, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1977896, encodeId=336b19e7896d6, content=<a href='/topic/show?id=53361230f8' target=_blank style='color:#2F92EE;'>#3D打印技术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1230, encryptionId=53361230f8, topicName=3D打印技术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30f5146, createdName=zz70, createdTime=Mon Apr 09 08:18:00 CST 2018, time=2018-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1335986, encodeId=f5cf13359861d, content=<a href='/topic/show?id=792612047e' target=_blank style='color:#2F92EE;'>#3D#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1204, encryptionId=792612047e, topicName=3D)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/pSGl6CJeZ2PzWxdhCtrvv4U9Q281RV8e0AKmlB5ib93DibbiaRyOzmkCdz5F04cbfX5RGOpG4dOXvuQW1fumibVeBg/132, createdBy=fc342500110, createdName=ms9833124466084992, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1467221, encodeId=353a146e221c3, content=<a href='/topic/show?id=ef32e9539e8' target=_blank style='color:#2F92EE;'>#罕见#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79539, encryptionId=ef32e9539e8, topicName=罕见)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=29f36868190, createdName=syscxl, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230345, encodeId=ef8d2303455d, content=太好了,以后会更棒的, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Aug 05 12:06:47 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230023, encodeId=0ea923002334, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=7dcf1938111, createdName=1e0e5a1fm42(暂无匿称), createdTime=Fri Aug 04 18:17:55 CST 2017, time=2017-08-04, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1977896, encodeId=336b19e7896d6, content=<a href='/topic/show?id=53361230f8' target=_blank style='color:#2F92EE;'>#3D打印技术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1230, encryptionId=53361230f8, topicName=3D打印技术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30f5146, createdName=zz70, createdTime=Mon Apr 09 08:18:00 CST 2018, time=2018-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1335986, encodeId=f5cf13359861d, content=<a href='/topic/show?id=792612047e' target=_blank style='color:#2F92EE;'>#3D#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1204, encryptionId=792612047e, topicName=3D)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/pSGl6CJeZ2PzWxdhCtrvv4U9Q281RV8e0AKmlB5ib93DibbiaRyOzmkCdz5F04cbfX5RGOpG4dOXvuQW1fumibVeBg/132, createdBy=fc342500110, createdName=ms9833124466084992, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1467221, encodeId=353a146e221c3, content=<a href='/topic/show?id=ef32e9539e8' target=_blank style='color:#2F92EE;'>#罕见#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79539, encryptionId=ef32e9539e8, topicName=罕见)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=29f36868190, createdName=syscxl, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230345, encodeId=ef8d2303455d, content=太好了,以后会更棒的, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Aug 05 12:06:47 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230023, encodeId=0ea923002334, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=7dcf1938111, createdName=1e0e5a1fm42(暂无匿称), createdTime=Fri Aug 04 18:17:55 CST 2017, time=2017-08-04, status=1, ipAttribution=)]
    2017-08-06 syscxl
  4. [GetPortalCommentsPageByObjectIdResponse(id=1977896, encodeId=336b19e7896d6, content=<a href='/topic/show?id=53361230f8' target=_blank style='color:#2F92EE;'>#3D打印技术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1230, encryptionId=53361230f8, topicName=3D打印技术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30f5146, createdName=zz70, createdTime=Mon Apr 09 08:18:00 CST 2018, time=2018-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1335986, encodeId=f5cf13359861d, content=<a href='/topic/show?id=792612047e' target=_blank style='color:#2F92EE;'>#3D#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1204, encryptionId=792612047e, topicName=3D)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/pSGl6CJeZ2PzWxdhCtrvv4U9Q281RV8e0AKmlB5ib93DibbiaRyOzmkCdz5F04cbfX5RGOpG4dOXvuQW1fumibVeBg/132, createdBy=fc342500110, createdName=ms9833124466084992, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1467221, encodeId=353a146e221c3, content=<a href='/topic/show?id=ef32e9539e8' target=_blank style='color:#2F92EE;'>#罕见#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79539, encryptionId=ef32e9539e8, topicName=罕见)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=29f36868190, createdName=syscxl, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230345, encodeId=ef8d2303455d, content=太好了,以后会更棒的, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Aug 05 12:06:47 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230023, encodeId=0ea923002334, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=7dcf1938111, createdName=1e0e5a1fm42(暂无匿称), createdTime=Fri Aug 04 18:17:55 CST 2017, time=2017-08-04, status=1, ipAttribution=)]
    2017-08-05 flysky120

    太好了,以后会更棒的

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1977896, encodeId=336b19e7896d6, content=<a href='/topic/show?id=53361230f8' target=_blank style='color:#2F92EE;'>#3D打印技术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1230, encryptionId=53361230f8, topicName=3D打印技术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30f5146, createdName=zz70, createdTime=Mon Apr 09 08:18:00 CST 2018, time=2018-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1335986, encodeId=f5cf13359861d, content=<a href='/topic/show?id=792612047e' target=_blank style='color:#2F92EE;'>#3D#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1204, encryptionId=792612047e, topicName=3D)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/pSGl6CJeZ2PzWxdhCtrvv4U9Q281RV8e0AKmlB5ib93DibbiaRyOzmkCdz5F04cbfX5RGOpG4dOXvuQW1fumibVeBg/132, createdBy=fc342500110, createdName=ms9833124466084992, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1467221, encodeId=353a146e221c3, content=<a href='/topic/show?id=ef32e9539e8' target=_blank style='color:#2F92EE;'>#罕见#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79539, encryptionId=ef32e9539e8, topicName=罕见)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=29f36868190, createdName=syscxl, createdTime=Sun Aug 06 08:18:00 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230345, encodeId=ef8d2303455d, content=太好了,以后会更棒的, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Aug 05 12:06:47 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230023, encodeId=0ea923002334, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=7dcf1938111, createdName=1e0e5a1fm42(暂无匿称), createdTime=Fri Aug 04 18:17:55 CST 2017, time=2017-08-04, status=1, ipAttribution=)]
    2017-08-04 1e0e5a1fm42(暂无匿称)

    henhao

    0

相关资讯

世界3D打印柔性心脏诞生

瑞士科研人员近日借助3D打印技术,制造出了全球首个形状、大小以及功能都与真人心脏高度相似的柔性心脏。虽然这种人造心脏仍处于概念性测试阶段,还不能用于移植,但为相关研究提供了新思路。苏黎世联邦理工大学的尼古拉斯·科尔斯等人在新一期美国《人造器官》期刊上报告说,这种人造心脏使用柔软硅胶材料,由3D打印和石蜡铸造技术制作而成,它重390克,容积679立方厘米。新型人造心脏是一个内部结构复杂的硅胶整体,包

世界先例 上海专家3D打印全颈椎助患者颈椎“再生”

28岁的小文笑容爽朗、颈部挺拔。其实她的整个“脖子”是用3D技术打印出的颈椎钛合金假体。

3D打印模板辅助CT引导放射性125I粒子植入治疗肿瘤专家共识

放射性粒子组织间永久植入治疗(简称粒子植入)肿瘤属于近距离范畴,它具有局部剂量高和周围正常组织损伤小的特点,已成为早期前列腺癌标准治疗手段之一。粒子植人借助超声、CT、MRI影像引导将放射性粒子送人到肿瘤靶区,因此,放射性粒子治疗兼具外科和介入治疗的特点。而粒子植入治疗的剂量学评估、危及器官剂量控制又隶属放射治疗范畴,因此,粒子治疗是跨学科、跨专业的技术。建立一支多学科合作团队,才有可能实现精准的

全球**3D人体器官打印机问世

世界首款3D人体器官打印机问世,这款名为 BioAssemblyBot 的机器是第二代专注于生物医疗材料的 3D 打印机,旨在革新医疗保健行业。

治癌神器:可在 MRI 机内活检的3D 打印机器人

机器人技术领域的一项突破性进展将对医疗界,特别是乳腺癌的诊断和治疗产生重大影响。Stormram 4 是一款 3D 打印机器人的最新版本,它可以在一台 MRI(核磁共振成像)机器中运转,从而让癌症的检测和治疗变得更容易。

3D打印骨科模型技术标准专家共识

随着数字化技术及医学科技的迅速发展,3D打印技术在医学领域得以广泛应用。借助于3D打印技术,医生可以将虚拟的影像变为实体模型,产生了一种有别于传统方法的新途径,为医学领域带来了新的理念和工作模式。其中,利用3D打印技术制备骨科模型是最早开展的技术之一,目前已在临床上得到了广泛应用。然而,目前在数据获取、模型设计、打印及应用等方面还缺乏具有参考价值的技术指导与标准。为指导、规范3D打印骨科模型在临床