混合现实技术在侧颅底良性肿瘤手术中的应用

doi:10.6040/j.issn.1671-7554.0.2019.1139

摘要/Abstract

摘要： 目的探讨混合现实技术在侧颅底良性肿瘤手术中的应用价值及其意义。方法回顾性分析2017年3月至2018年10月期间经手术治疗的侧颅底良性肿瘤患者19例,按照是否使用混合现实技术分为两组,A组8例患者术前均通过重建术区的三维影像解剖结构模型,并采用混合现实技术进行术前手术方案的制定、与患者及家属进行术前沟通,术中利用该技术来实时指导肿瘤的切除;B组11例患者术前术中均未使用混合现实技术。比较两组患者术中自开始切皮至肿瘤暴露的时间、肿瘤全切率、术后平均住院天数、并发症发生率及患者满意度评分。结果两组患者的肿瘤全切率、术后平均住院天数和并发症发生率差异均无统计学意义(P>0.05),但术中自开始切皮至肿瘤暴露的时间A组较B组明显缩短(P=0.003),患者满意度评分A组较B组明显提高(P=0.005)。结论在侧颅底良性肿瘤术前及术中使用混合现实技术,可缩短术中自开始切皮至肿瘤暴露的时间,便于医患沟通并提高患者满意度,作为一种新技术值得推广。

关键词: 混合现实技术, 侧颅底良性肿瘤, 手术, 临床应用

Abstract: Objective To explore the application value of mixed reality technique in the resection of benign lateral skull base tumor. Methods The clinical data of 19 patients with benign lateral skull base tumor during Mar. 2017 and Oct. 2018 were retrospectively analyzed. The patients were divided into group A(n=8)and B(n=11). In group A, before operation, 3D image fusion technique was applied to reconstruct anatomical structure, mixed reality technique was used to formulate operation scheme, and surgeons communicated fully with patients and their families. During operation, mixed reality technique was used to guide the resection of tumors. In group B, no mixed reality technique was applied before or during operation. The time needed from skin incision to tumor exposure, tumor removal rate, postoperative hospital stay, incidence of complications and patients satisfaction rate were compared between the two groups. Results There were no significant differences in tumor removal rate, hospital stay and incidence of complications between the two groups(P>0.05). However, group A had shorter time from skin incision to tumor exposure(P=0.003)and higher patients satisfaction rate(P=0.005)than group B. Conclusion Pre- and intra-operative use of mixed reality technique in the resection of benign lateral skull base tumor can significantly shorten the time from the initial incision to tumor exposure, facilitate doctor-patient communication and improve patients satisfaction, which is worthy of clinical promotion.

Key words: Mixed reality technique, Benign lateral skull base tumor, Surgery, Clinical application

中图分类号:

R762

许玲,孙岩,陈良,王锡温. 混合现实技术在侧颅底良性肿瘤手术中的应用[J]. 山东大学学报 (医学版), 2020, 58(1): 31-38.

XU Ling, SUN Yan, CHEN Liang, WANG Xiwen. Application of mixed reality technique in the resection of benign lateral skull base tumor[J]. Journal of Shandong University (Health Sciences), 2020, 58(1): 31-38.

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