基于CT和MRI的三维重建技术在脊柱外科手术规划及术中导航中的效果研究  

Comparative effectiveness study of 3D reconstruction technique based on CT and MRI in operational planning and intraoperative navigation of spinal surgery

作　　者：谈军 邹烽 严邦胜 Tan Jun;Zou Feng;Yan Bangsheng(Department of Orthopaedics,The Second People's Hospital of Huishan District of Wuxi City,Wuxi 214000,China)

机构地区：[1]无锡市惠山区第二人民医院骨科,无锡214000

出　　处：《中国医学装备》2024年第12期66-71,共6页China Medical Equipment

基　　金：江苏省中西医结合老年病防治重点实验室开放课题(202236)。

摘　　要：目的:探讨基于CT和MRI的三维重建技术在脊柱外科手术规划及术中导航中的效果。方法:选取2016年9月至2023年6月无锡市惠山区第二人民医院住院并行脊柱外科手术的98例患者,根据手术方式的不同将其分为研究组(59例)和对照组(39例),研究组采用基于CT和MRI的三维重建技术进行脊柱外科手术,对照组采用传统的二维影像技术进行脊柱外科手术。观察并统计两组手术时间、病变部位手术切除的准确性、术后并发症发生率、患者满意度评分以及术后恢复时间。结果:研究组平均手术时间为(2.67±1.03)h,术后平均恢复时间为(8.15±1.03)周,对照组平均手术时间为(3.98±1.06)h,术后平均恢复时间为(10.08±2.15)周,研究组手术时间和术后恢复时间明显少于对照组,差异有统计学意义(t=6.092、5.950,P<0.05);研究组术后并发症发生率为13.56%(8/59),明显低于对照组的30.77%(12/39),差异有统计学意义(χ^(2)=4.280,P<0.05);研究组患者对术前沟通、手术过程及术后恢复的满意度评分均明显高于对照组,差异有统计学意义(t=9.024、6.658、6.855,P<0.05),病变部位术前测量与手术切除椎体、椎间盘、椎弓根、椎板以及脊髓和神经根的范围偏差均明显高于对照组,差异有统计学意义(t=46.18、50.483、68.997、64.482、43.822,P<0.05)。结论:基于CT和MRI的三维重建技术在脊柱外科手术规划及术中导航具有显著优势,可以有效缩短手术时间和术后恢复时间、降低术后并发症发生率、提高患者满意度和病变部位手术切除准确性。Objective:To explore the comparison of application effectiveness of three dimensional(3D)reconstruction technique based on computed tomography(CT)and magnetic resonance imaging(MRI)in operational planning and intraoperative navigation of spinal surgery.Methods:A total of 98 patients who underwent spinal surgery in The Second People's Hospital of Huishan District of Wuxi City from September 2016 to June 2023 were selected,and they were divided into study group(59 cases)and control group(39 cases)according to different surgical method.Study group used 3D reconstruction technique based on CT and MRI to conduct operation of spinal surgery,and control group adopted conventional two-dimensional(2D)imaging technique to conduct operation of spinal surgery.Operation time,accuracy of resection at the lesion site,incidence of postoperative complications,satisfaction score of patient and postoperative recovery time were observed and calculated as statistical method for the two groups.Results:In the study group,the operation time and postoperative recovery time were respectively(2.67±1.03)h and(8.15±1.03)weeks,while they were respectively(3.98±1.06)h and(10.08±2.15)weeks in the control group.The operative time and postoperative recovery time of study group were significantly shorter than those of control group,and the differences of them between two groups were statistically significant(t=6.092,5.950,P<0.05),respectively.The postoperative complication rate of study group was 13.56%(8/59),which was significantly lower than 30.77%(12/59)of control group,and the difference of that between two groups was statistically significant(χ^(2)=4.280,P<0.05).The satisfaction scores of preoperative communication,surgical procedure and postoperative recovery of study group were significantly higher than those of control group,and the differences of them between two groups were significant(t=9.024,6.658,6.855,P<0.05),respectively.The accuracies of surgical resection of vertebral bodies,intervertebral discs,vertebral arches,vertebral pla

关 键 词：计算机断层扫描(CT) 磁共振成像(MRI) 三维重建技术 脊柱外科 手术规划 术中导航 

分 类 号：R816.8[医药卫生—放射医学]