计算机辅助立体定向手术定位方法的研究  

Computer-assisted planning for neurosurgery: a clinical study

作　　者：杜吉祥[1] 刘宗惠[1] 李士月[1] 于新[1] 亓树斌[1] 刘锐[1] 张明华[1] 周付根[2] 徐涛[2] 张威[2] 

机构地区：[1]海军总医院全军神经外科中心,北京100037 [2]北京航空航天大学图形图像中心

出　　处：《中华医学杂志》2002年第12期828-829,共2页National Medical Journal of China

摘　　要：目的　探讨神经外科立体定向手术的科学性 ,研制计算机辅助神经外科规划系统(CAPN)软件。方法　随机抽取 10 0组立体定向靶点 ,用CAPN系统测定的靶点三维坐标数值与传统的刻度盘测量的靶点数值进行统计学对照分析。临床应用CAPN实施 137例立体定向手术。结果刻度盘目测和CAPN 2种测量方法的靶点数值进行配对t检验的处理结果 :t<t0 .0 5/ 2 ,99=1.984 ,P >0 .0 5 ,证明两种方法的结果差异无统计学意义 ,CAPN准确可靠。所有手术均获成功 ,临床效果满意。Objective To investigate the clinical effect of computer assisted planning for neurosurgery (CAPN). Methods 100 groups of directional targets were randomly sampled. The targets′ directional three dimension coordinates measured with CAPN and those measured by traditional reading device were analyzed statistically. CAPN was actualized in 137 cases of stereotactic operation. Results The data measured with CAPN and those with traditional reading device were analyzed with two samples. The paired t test showed no statistically significantly difference between the data of targets measured by both methods ( t <t 0.05/2,99 =1.984, P >0.05). Different kinds of operation based on CAPN were performed upon 137 cases successfully. CAPN was proved reliable. All operations were successful and the clinic effects satisfactory. Conclusion CAPN is accurate and reliable, and has positive effect on the improvement of stereotactic neurosurgery.

关 键 词：神经外科手术方法 立体定向技术 计算机辅助 

分 类 号：R651[医药卫生—外科学]