颅脑手术定位中三维影像体表投影技术的应用价值  

Application value of three-dimensional image body surface projection technique in localization of craniocerebral surgery

作　　者：游慧超 孙登江 欧阳和平 汤军 田丽 李文琦 YOU Huichao;SUN Dengjiang;OUYANG Heping;TANG Jun;TIAN Li;LI Wenqi(Department of Neurosurgery,Hubei Provincial Third People's Hospital Affiliated to Jianghan University,Wuhan,Hubei,430032;Department of Ultrasound,Hubei Provincial Third People's Hospital Affiliated to Jianghan University,Wuhan,Hubei,430032)

机构地区：[1]江汉大学附属湖北省第三人民医院神经外科,湖北武汉430032 [2]江汉大学附属湖北省第三人民医院超声科,湖北武汉430032

出　　处：《实用临床医药杂志》2022年第14期14-17,共4页Journal of Clinical Medicine in Practice

基　　金：湖北省卫生健康委员会联合基金项目重点项目(WJ2019H328);湖北省武汉市医学科研项目重点项目(WX19A13)。

摘　　要：目的探讨三维影像体表投影技术应用于颅内病变术前定位的可行性与价值。方法选取三维影像体表投影定位技术辅助手术患者15例,其中颅内血肿穿刺引流术9例、脑膜瘤切除术2例、脑动静脉畸形切除术2例、微血管减压术2例。分析定位效果,总结定位经验。结果9例颅内血肿穿刺引流术均一次性成功,2例脑膜瘤及2例血管畸形均在设计的骨窗内;3例静脉窦旁病变,术前均能较精准地描绘静脉窦位置。结论三维影像体表投影定位技术能较精准地定位颅脑病变,增加体表标志可以提高该技术的定位精准性。Objective To explore the feasibility and value of three-dimensional image body surface projection technique in preoperative localization of intracranial lesions.Methods Fifteen patients with operation assisted by three-dimensional image surface projection positioning technology were selected,including 9 cases with puncture and drainage of intracranial hematoma,2 cases with resection of meningioma,2 cases with resection of cerebral arteriovenous malformations and 2 cases with microvascular decompression.The positioning effect was analyzed and the positioning experience was summarized.Results Puncture and drainage of intracranial hematoma were successful by one time in 9 cases,and meningioma of three cases and vascular malformations of three cases were located in the designed bone window;3 cases had paravenous sinus lesions,the location of venous sinus could be accurately described before operation.Conclusion The three-dimensional image body surface projection positioning technology can accurately locate brain lesions,and adding body surface markers can increase the positioning accuracy of this technology.

关 键 词：颅脑手术定位 3D-Slicer软件 三维影像体表投影技术 影像重建 影像融合 

分 类 号：R651.1[医药卫生—外科学] R319[医药卫生—临床医学]