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研究生: 李武松
Wu-Song Lee
論文名稱: 顱顏整型手術用植入物之設計與製作
The Design and Manufacture for Craniofacial Surgery
指導教授: 曾清秀
Ching-Shiow Teseng
口試委員:
學位類別: 碩士
Master
系所名稱: 工學院 - 機械工程學系
Department of Mechanical Engineering
畢業學年度: 88
語文別: 中文
論文頁數: 56
中文關鍵詞: 顱顏整型植入物快速原型電腦輔助手術手術規劃手術模擬影像鏡射顱骨
外文關鍵詞: craniofacial surgery, rapid prototyping machine, compute aided surgery, surgery planning, surgery simulation, image mirror, cranial, implant
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  • 植入物是許多人研究的目標。
    本研究方式,是在病患手術前,經由醫師取得電腦斷層(CT)影像檔案,利用此些影像檔,經由影像處理、電腦圖學等技巧以重建出傷患骨骼植入物的模型,並且事先在電腦上模擬此植入物與傷患骨骼的配合程度,之後再以快速原型機製作出植入物。此植入物再翻成矽膠母模並經消毒後,即可在開刀之前或開刀時以骨細胞或骨粉翻製補塊。與傳統方式相比較,所製作出的植入物除了可以準確且美觀地補足傷患的骨骼缺口,亦可縮短手術時間及減短傷患在手術後的復原時間。
    本研究所製作出的植入物,已在臨床上有數起的應用案例,效果良好,深受醫師肯定。



    Traditionally, plastic surgeons make bone implants according to their experience during the operation. Such a method will extend operation time and the implant usually can not fit the bone defect well. In this research, the 3D graphics model of the bone implant is reconstructed from CT images and is simulated to see how well the implant matches with the bone defect prior to surgery. Then the physical implant model is manufactured by a rapid prototyping machine. The implant is used to produce a female silicon mold which is used to cast the bone implant using bone cement or bone cell. Compared to traditional processes, the implant made from the silicon mode will match the defect precisely and beautifully. The operation time and the recovery time after surgery will be shorter, too.

    摘要………………………………………………Ⅰ 目錄………………………………………………Ⅱ 圖索引……………………………………………Ⅲ 第一章 緒論: 1-1 研究動機與目的………………………………1 1-2 文獻回顧………………………………………2 1-3 研究方法………………………………………3 1-4 章節提要………………………………………4 第二章影像處理與模型重建: 2-1影像處理………………………………………7 2-2影像2D鏡射……………………………………14 2-3影像2D內插……………………………………17 2-4影像3D鏡射……………………………………19 2-5影像3D內插……………………………………24 第三章實際應用案例 3-1 應用案例一……………………………………25 3-2 應用案例二……………………………………30 3-3應用案例三……………………………………36 3-4應用案例四……………………………………39 第四章結果與討論……………………………51 第五章結論……………………………………55 參考文獻…………………………………………56

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    [3] Patricia, M. G., and Alfred, D. L., ?-D Representation and Visuali-
    [4] 黃楙智, "顱顏手術用補塊模型設計與製作", 碩士論文, 中央大學機械所, 1998.
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    [12] John,J.Craig, "Introduction to Robotics Mechanics and control" pp.43-55, Addison-Wesley
    [13] John W. Hole, Jr. / Karen A. Koos原著 "人體解剖學" pp.143-144, 藝軒圖書出版社, 1999

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