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连体女婴成功分身 3D打印立功 - 站长搜索
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连体女婴成功分身 3D打印立功

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2015-06-10 02:30:04 转载来源: 网络整理/侵权必删

复旦大学附属儿科医院9日披露,备受社会关注的江西臀部连体女婴当日在该院成功接受分离手术。本次分离手术采用3D打印技术进行精准辅助,这在中国儿童医院连体儿分离手术中并无先例

复旦大学附属儿科医院9日披露,备受社会关注的江西臀部连体女婴当日在该院成功接受分离手术。本次分离手术采用3D打印技术进行精准辅助,这在中国儿童医院连体儿分离手术中并无先例。

复旦大学附属儿科医院副院长、儿外科专家郑珊是本次手术团队的领衔人物。术后,她接受记者采访时表示,连体儿的神经分离和修补、肛门功能重建是此次手术的难点。

据介绍,当日手术从上午9点半起开始持续至下午3点半,10名普外科、整形外科以及神经外科医生同台手术。

这对双胞胎今年3月17日出生于江西省赣州市宁都县人民医院。产前检查时,被认为是双胞胎,而在剖腹产手术时却发现其为臀部相连的连体儿,属罕见畸形。生后三天,这对连体儿被急转至复旦大学附属儿科医院。

医院方面表示,入院时,医生查体发现两连体儿为臀部连体,她们共用一个肛门。CT检查显示,姐妹俩臀部软组织、骶尾骨、椎管相连。

钡剂灌肠检查显示,两患儿肛门开口处共用一段长度不足1cm的肛管,其上方有各自的消化道,总体呈Y型。

郑珊告诉记者,连体儿分离手术中,普外科医生为其会阴部重建、肛门成形、直肠周围肌肉环的重建;神经外科医生将进行骶尾骨分离、硬膜囊分离修补、马尾神经的分离,整形外科医生将进行皮瓣设计、创面的覆盖。

医生为她们进行了保护性造瘘,避免肛门等部位因排便受到污染引起感染。

在本次江西连体女婴的病例中,该院首次使用3D打印技术,等比例地还原患儿臀部连体的脊柱、皮肤融合情况,直观展现患儿骨性连接和皮肤连接的部位和程度,实现虚拟术前切割、皮瓣翻转。

郑珊向记者展示3D打印出的脊柱融合、臀部融合模型。她说,这不仅为手术方案的设计和改进提供极大帮助,还大大提高了手术的精准性。

这位专家告诉记者,两名“分体”成功的小姐妹有望3天后离开ICU,两周左右出院。两人长大后可像正常人一样生活,且不影响生育。

据悉,复旦大学附属儿科医院的小儿外科既是上海市小儿外科疑难重症诊治中心,也是国家临床重点专科。这是自2000年以来该院实施的第7对连体儿分离手术,此前,儿科医院共成功分离了4对对称连体儿,2对不对称连体儿,其中1对是异常复杂的胸腹盆连体和伴有复杂心脏畸形。

据郑珊介绍,连体婴儿属极罕见的先天畸形,发病率为1:50000-1:200000,男女约1:3。绝大多数连体婴儿为胸腹连体,臀部相连的病例在国际上亦属罕见。据悉,“天使妈妈”基金向患儿资助20万元人民币。

标签: 连体 女婴 成功 分身 3D 打印 立功


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