Dextroscope系统对乳腺浸润性导管癌的三维重建及术前应用  

Three Dimensional Reconstruction of Breast Invasive Ductal Carcinoma Based on Dextroscope System and Its Preoperative Application

作　　者：刘宝胤[1] 骆成玉[1] 张键[1] 罗雯[1] 韩春姿[1] 张宇[1] 

机构地区：[1]首都医科大学附属复兴医院普外科,北京市100038

出　　处：《解剖与临床》2011年第3期232-234,共3页Anatomy and Clinics

基　　金：首都医科大学校长研究基金（09JYY-012）

摘　　要：目的：研究Dextroscope系统对乳腺浸润性导管癌的三维重建方法,探讨其临床应用价值.方法：对浸润性导管癌10例患者采用Dextroscope系统软件生成虚拟图像,从任意角度观察肿瘤与乳腺的解剖关系,确定保乳手术方案并进行模拟操作.10例均行乳腺癌保乳手术.结果：Dextroscope系统对乳腺浸润性导管癌的三维重建图像清晰,可以精确定位肿瘤.10例患者病理切缘均为阴性.术后病理大体标本与术前模拟图像测量数值,差异无统计学意义（P＞0.05）.结论：通过Dextroscope系统,术者提前预演手术,为精确手术创造了条件,对乳腺癌保乳手术的实施有指导意义.Objective：To investigate the methods of 3D reconstruction of breast invasive ductal carcionma and discuss its value in preoperative application. Methods： 10 cases underwent MRI examination before operation were diagnosed with invasive ductal carcinoma by biopsy cores. Dextroscope virtual reality system generated virtual images which could be used to observe the relationship between tumor and breast from different directions. The surgical plan were carried out and operation were simulated. All the eases were performed breast conserving operation. Results： The image of 3D reconstruction conducted by Dextroscope system was clear, which could contribute to the precise allocation of tumor. The pathological cut margins were all negative. There was no significant difference between preoperative simulating image with intraoperative and pathological observation. Conclusions ：The image of 3D reconstruction can practice the surgery in advance and create conditions for precise operation. It has a guiding significance for implementation of breast conserving surgery.

关 键 词：虚拟现实 浸润性导管癌 三维重建 

分 类 号：R737.9[医药卫生—肿瘤]