基于力反馈和快速成型技术的成人阴茎虚拟手术仿真研究  

Adult penis virtual surgery simulation based on force feedback and rapid prototyping technology

作　　者：陈华[1] 李世荣 张绍祥[2,3] 谭立文 Chen Hua;Li Shirong;Zhang Shaoxiang;Tan Liwen(Department of Plastic Surgery and Burn Injury,Affiliated Hhospital of Inner Mongolia Medical University,Hohhot 010050,China;Department of Anatomy,Army Medical University,Chongqing 400038,China;Chongqing Inistitute of Computational Medicine,Chongqing 400038 China)

机构地区：[1]内蒙古医科大学附属医院整形美容烧伤科,呼和浩特010050 [2]陆军军医大学基础医学部解剖学教研室,重庆400038 [3]重庆市计算医学研究所,重庆400038

出　　处：《中华医学美学美容杂志》2021年第1期49-51,共3页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：内蒙古自治区自然科学基金(20080404MS1131);内蒙古自治区卫生健康委员会科研计划项目(2010027)。

摘　　要：目的探讨力反馈基础上辅助3D快速成型技术进行成人阴茎虚拟手术仿真研究,为提高手术成功率、减少并发症提出方法。方法2009年1月至2015年12月,内蒙古医科大学附属医院整形美容烧伤科选取内蒙古汉族成年男性20例(20~50岁),将受试者从髂嵴上缘到阴茎下缘的连续CT二维数据导入计算机,用Magics RP软件,三维重建阴茎及毗邻结构,用快速成型技术制作出阴茎及毗邻结构的快速成型(Rapid-prototyping,RP)模型。在Free Form系统下,基于力反馈设备进行成人阴茎数字化虚拟仿真修复手术操作。结果用Free Form系统进行成人阴茎虚拟整形修复手术,在阴茎三维立体模型上随意操作,为定量化手术设计、选择最佳手术入路、最大可能避免并发症的发生提供新的技术手段。结论阴茎RP模型能较准确反映该区域复杂的解剖学特点及其内部空间毗邻关系,在力反馈基础上,使医师从视觉、听觉和触觉感知仿真手术过程,为精准进行成人阴茎修复手术提高临床应用价值。Objective To explore the auxiliary 3D rapid prototyping technology of adult penis virtual surgery simulation on the basis of the force feedback,thus to improve the success rate of surgery,to reduce complications and to ensure the operation safety and reliability.Methods Twenty cases of Inner Mongolia adult male(20-50 years old)were selected from January 2009 to December 2015 in the Department of Burns and Plastic Surgery,Inner Mongolia Medical University Affiliated Hospital.The two-dimensional CT data from the iliac crest edge to edge of penis continuously were input into the computer to reconstruct 3D penis and adjacent structure model using Magics Rapid-prototyping software.Under the Free Form system,digital virtual simulation reconstructive surgery was carried out based on force feedback device for adult penis.Results Using Free Form system,virtual plastic and reconstructive surgery was carried on the adult penis,which could be used for penis optional operation,the three dimensional model for quantitative operation design to choose the best surgical approach.This technique provided a new technical means to avoid complications happened.Conclusions Penis RP model can accurately reflect the complex anatomical characteristics and the internal space of the area adjacent to the relationship,based on force feedback,make the performer from the visual,auditory and tactile perception to simulate procedures for accurate adult penile reconstructive surgery and to improve clinical application value.

关 键 词：阴茎 力学 力反馈 快速成型 手术仿真 

分 类 号：R699.8[医药卫生—泌尿科学]