神经外科三维可视化工作站的研制及临床初步应用  

Development of three-dimensional visual neurosurgical station and its preliminary clinical practice

作　　者：陈祎招[1] 黄大勇[1] 徐如祥[2] 聂永庚 王向宇[1] 张世忠[1] 柯以铨[1] 

机构地区：[1]南方医科大学珠江医院神经外科广东神经外科研究所广东省脑功能修复与再生重点实验室,广州510282 [2]北京军区总医院附属八一脑科医院,100700 [3]娄底市人民医院神经外科,417000

出　　处：《中华神经医学杂志》2012年第9期891-894,共4页Chinese Journal of Neuromedicine

基　　金：国家自然科学基金（81271314）;广东省2010适宜卫生技术推广项目[粤卫（2010）152号];国家临床重点专科建设项目

摘　　要：目的探索一款适用于神经外科的直观且精确可靠的三维可视化定位系统及影像学信息存储、管理工具。方法通过自行研制的神经外科影像与手术工作平台系统f简称神经外科工作站，又称神经外科三维可视化工作站1对7例重型颅脑外伤硬膜外血肿、凹陷性骨折，8例垂体瘤，5例脑胶质瘤，3例脑膜瘤患者的影像学资料进行三维重建，根据外科手术要求在工作站上进行手术计划，辅助行手术治疗。结果神经外科三维可视化工作站可以直观显示颅内各种病变与各解剖结构、体表标志的三维空间量化关系，迅速辅助定位并设计最佳个体化手术人路，提高手术精确性与手术效率。同时，神经外科三维可视化工作站可便捷管理患者影像学资料及手术录像等各种信息，提高科研与临床工作效率。结论神经外科三维可视化工作站是一种直观快捷、功能强大的神经外科手术辅助工具及影像学信息管理工具。Objective To develop a three-dimensional visual neurosurgical tool enjoying simple, fast and accurate characteristics at moderate cost for visual positioning and imaging information storage and processing. Methods Seven patients with epidural hematoma or depressed fracture resulted from severe craniocerebral trauma, 8 patients with hypophysoma, 5 with glioma and 3 with meningeoma were chosen in our study; CT three-dimensional reconstruction of their imaging data were performed and used for preoperative planning before surgery assisted by neurosurgical station. According to CT three-dimensional reconstruction results, appropriate neurosurgical approach was planned and patients were treated by surgery. Results Neurosurgical station performed three-dimensional reconstruction could show three-dimensional quantitative relationship between the above lesions and anatomical landmarks directly, which could help direct positioning and designing the best-individualized approach to improve the surgical accuracy and efficacy. Neurosurgical station could improve the efficiency of scientific research and clinical work by managing, storing, editing and using the imaging and video of the patients. Conclusion Neurosurgical station, which can show three-dimensional quantitative relationship between the above lesions and anatomical landmarks directly, is a simple, fast and accurate preoperative planning and information processing tool for clinical neurosurgical practice.

关 键 词：神经外科 信息技术 三维重建 计算机工作站 

分 类 号：R651.1[医药卫生—外科学]