摘要
背景:如何提高椎体成形术中穿刺的精准性、减少手术损伤、提高手术效率是目前椎体成形治疗技术探索和改进的焦点之一。目的:探讨混合现实临床设计方案在脊柱骨折经皮椎体成形过程中应用的临床意义。方法:选择2023年6月大连市第二人民医院收治的2例脊柱骨质疏松性腰椎椎体压缩骨折患者,患者术前行腰椎128排CT扫描并获得医学数字成像和通信原始数据,Visual Volume软件构建脊柱压缩性骨折三维网络模型。运用全息影像眼镜将三维网络模型影像精确映射于真实世界,协助术者完成术前模拟、术前病情及治疗方案阐述,以及术中引导穿刺及骨水泥注射。结果与结论:①在混合现实临床设计方案辅助下可实现经皮椎体成形治疗的精准穿刺,术后影像学检查示骨水泥充填良好、无明显渗漏,术后患者症状缓解良好,术后当天即可下地活动;②提示混合现实临床设计方案有助于术者术前进行完善的手术设计、提高与患者及家属的沟通效率;术中协助精准穿刺、缩短手术时间、减少副损伤,是一种新的有效的临床诊疗模式,在脊柱外科微创化、精准化、个性化的治疗中具有发展潜力。
BACKGROUND:How to improve the accuracy of puncture,reduce surgical damage,and improve surgical efficiency during vertebroplasty is currently one of the focuses of exploration and improvement in vertebroplasty techniques.OBJECTIVE:To explore the clinical significance of application of mixed reality technology in percutaneous vertebroplasty for spinal fractures.METHODS:Two patients with osteoporotic vertebral compression fracture in Dalian Second People’s Hospital in June 2023 were selected.Before operation,128-row CT scanning of the lumbar spine was performed and the original data of digital imaging and communications in medicine(DICOM)were obtained.Visual Volume software was used to build the three-dimensional network model of vertebral compression fracture.Holographic imaging glasses were used to accurately map 3D network model images to the real world,assist the surgeon in completing preoperative simulation,explaining preoperative conditions and treatment plans,and guiding puncture and bone cement injection during surgery.RESULTS AND CONCLUSION:(1)Precise puncture was achieved with the assistance of a mixed reality technology.Postoperative imaging examination showed good bone cement filling and no obvious leakage.The postoperative symptoms of the patient were alleviated well,and they were able to move to the ground on the same day after surgery.(2)It is concluded that a mixed reality technology is helpful for preoperative surgical design and communication efficiency with patients and their families.Assisting with precise puncture during surgery,shortening surgical time,and reducing side injuries is a new and effective clinical diagnosis and treatment model,which has development potential in minimally invasive,precise,and personalized treatment of spinal surgery.
作者
姜泳
关天民
慈元
朱晔
赵鹏
郑家法
杨涛
张光宇
Jiang Yong;Guan Tianmin;Ci Yuan;Zhu Ye;Zhao Peng;Zheng Jiafa;Yang Tao;Zhang Guangyu(Dalian Second People’s Hospital,Dalian 116011,Liaoning Province,China;Dalian Jiaotong University,Dalian 116028,Liaoning Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2024年第30期4812-4816,共5页
Chinese Journal of Tissue Engineering Research
基金
国家重点研发计划“骨质疏松性骨折综合防治体系及关键技术研究”(2021YFC2501701),项目参与人:慈元、姜泳。
关键词
混合现实技术
椎体成形
精确医学
虚拟现实
骨水泥注射
mixed reality technology
vertebroplasty
precision medicine
virtual reality
bone cement injection
