颈部深静脉穿刺置管三维虚拟穿刺仿真模型构建  

Three-dimensional virtual simulation of cervical deep vein puncturation

作　　者：曹加明 傅栋 

机构地区：[1]解放军98医院中心ICU,浙江省湖州市313000 [2]武警8691部队医院,浙江省湖州市313003

出　　处：《中国组织工程研究》2015年第18期2901-2905,共5页Chinese Journal of Tissue Engineering Research

基　　金：2011年度南京军区医学科技创新面上A类课题(11MA007)~~

摘　　要：背景:应用颈部深静脉三维可视化模型进行虚拟穿刺仿真,提高临床深静脉穿刺技能的研究还处在探索阶段。目的:寻求三维虚拟穿刺仿真技术在颈部深静脉穿刺置管中的应用方法:取健康志愿者CT断面图像,Mimics软件对颈部各种组织半自动分割和重建,三维化显示颈部深静脉及周围解剖结构,并模拟颈部深静脉穿刺,包括模拟颈内静脉,锁骨上静脉和锁骨下静脉穿刺。结果与结论:成功模拟颈部3种深静脉穿刺,显示虚拟穿刺针和周围解剖结构三维毗邻关系,并测量穿刺进针的安全角度、深度、最佳穿刺路径。三维虚拟穿刺仿真技术为颈部深静脉穿刺提供直观形态学参考。BACKGROUND：Three-dimensional visual model of cervical deep vein can be used to virtual simulation of puncture. The studies on elevating deep vein puncture in the clinic are stil in the stage of exploration. OBJECTIVE：To find the application of three-dimensional virtual puncturation simulation to cervical deep vein puncturation. METHODS：CT cross-sectional images were obtained from healthy volunteers. Mimics software was used to semi-automatical y cut and reconstruct of various tissue of the neck. Three-dimensional model revealed cervical deep veins and its surrounding anatomic structure. Cervical deep vein puncturation was simulated, including internal jugular vein, supraclavicular vein and subclavian vein. RESULTS AND CONCLUSION：Three kinds of cervical deep vein puncturation were successful y simulated, showing three-dimensional adjacent relation of the virtual pin with surrounding anatomic structure. Safe angle, depth and optimal path of the pin were measured. A three-dimensional virtual puncturation simulation can provide visualized morphologic data for cervical deep vein puncturation.

关 键 词：实验动物 组织构建实验模型 颈 三维 虚拟仿真 深静脉 颈内静脉 锁骨上静脉 锁骨下静脉 穿刺 

分 类 号：R318[医药卫生—生物医学工程]