术前CT多平面重建模拟脑室-腹腔分流术  

Application of surgery simulation using multiplanar reconstruction of CT imaging in ventriculo-peritoneal shunt procedure

作　　者：姚玉强[1] 李娜[2] 阎涛[1] 苏亦兵[1] 史良[1] 乔京元[1] 

机构地区：[1]北京积水潭医院神经外科,100035 [2]北京积水潭医院放射科,100035

出　　处：《山西医药杂志》2015年第15期1727-1728,共2页Shanxi Medical Journal

基　　金：国家自然科学基金(61403215)

摘　　要：目的探讨术前CT多平面重建(MPR)模拟脑室-腹腔分流术的意义。方法对2013—2014年拟行脑室-腹腔分流术患者12例行术前头颅CT螺旋扫描,将扫描数据于医学影像工作站行MPR,术前模拟脑室穿刺部位及路径,选择最佳穿刺点及穿刺方向,将模拟手术数据用于指导实际手术操作。结果 12例脑室穿刺一次性成功率及准确率均为100%,无穿刺道出血等并发症出现。结论术前CT MPR模拟脑室-腹腔分流术有利于指导手术,提高分流管位置准确率。Objective To evaluate the value of surgery simulation using multiplanar reconstruction （MPR） of CT imaging in ventriculo-peritoneal shunt procedure. Methods Spiral CT scans were conducted in 12 patients with hydrocephalus planning ventriculo-peritoneal shunt during 2013 and 2014. The imagings were transfered to the working station where MPR were performed. Pre-surgical simulations were done in the working station. The best puncture point and direction was chosen to instruct the actual procedure. Results All procedures were suc- cessfully done at their first performances. The positions of the tubes were appropriate and no complications were found peri-surgically. Conclusion Pre-surgical simulation using MPR of CT imaging can instruct the actual ventri- culo-peritoneal shunt procedure.

关 键 词：脑积水 多平面重建 脑室-腹腔分流术 模拟手术 

分 类 号：R651[医药卫生—外科学]