中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2011年
8期
798-801
,共4页
魏欣%钟立明%谢晓东%王朝华%游箭%何家全%胡鸿%范润金%胡孔琼%赵晓伟
魏訢%鐘立明%謝曉東%王朝華%遊箭%何傢全%鬍鴻%範潤金%鬍孔瓊%趙曉偉
위흔%종립명%사효동%왕조화%유전%하가전%호홍%범윤금%호공경%조효위
颅内动脉瘤%模型%虚拟%三维%模拟
顱內動脈瘤%模型%虛擬%三維%模擬
로내동맥류%모형%허의%삼유%모의
Intracranial aneurysm%Model%Virtual%Three - dimension%Simulation
目的 探讨个体化颅内动脉瘤及介入器械的虚拟三维模型在神经介入术前模拟中的价值.方法 回顾性分析17例术前模拟的结果并与实际手术对比,评价在建模及模拟时间、模拟的准确性和模拟在教学培训方面的价值.结果 (1)建立个体化模型耗时较多,实用性稍差;而术前模拟耗时不多,具有实用性.(2)模拟工作角度的准确性较高(14/17);模拟插管路径(15/17)对指导术中微导管、微导丝头端合理塑形具有参考价值;模拟填塞弹簧圈及释放支架的结果与手术结果相同或相近者占76%(13/17).(3)在加强对手术意图理解价值占93%(38/41);颅内动脉瘤个体化模型建立难度较大占54%(22/41).结论 在术前模拟的操作方法、模拟结果的准确性和教学培训方面具有较好的实用性,在优化个体化颅内动脉瘤模型的建模方法方面值得进一步研究.
目的 探討箇體化顱內動脈瘤及介入器械的虛擬三維模型在神經介入術前模擬中的價值.方法 迴顧性分析17例術前模擬的結果併與實際手術對比,評價在建模及模擬時間、模擬的準確性和模擬在教學培訓方麵的價值.結果 (1)建立箇體化模型耗時較多,實用性稍差;而術前模擬耗時不多,具有實用性.(2)模擬工作角度的準確性較高(14/17);模擬插管路徑(15/17)對指導術中微導管、微導絲頭耑閤理塑形具有參攷價值;模擬填塞彈簧圈及釋放支架的結果與手術結果相同或相近者佔76%(13/17).(3)在加彊對手術意圖理解價值佔93%(38/41);顱內動脈瘤箇體化模型建立難度較大佔54%(22/41).結論 在術前模擬的操作方法、模擬結果的準確性和教學培訓方麵具有較好的實用性,在優化箇體化顱內動脈瘤模型的建模方法方麵值得進一步研究.
목적 탐토개체화로내동맥류급개입기계적허의삼유모형재신경개입술전모의중적개치.방법 회고성분석17례술전모의적결과병여실제수술대비,평개재건모급모의시간、모의적준학성화모의재교학배훈방면적개치.결과 (1)건립개체화모형모시교다,실용성초차;이술전모의모시불다,구유실용성.(2)모의공작각도적준학성교고(14/17);모의삽관로경(15/17)대지도술중미도관、미도사두단합리소형구유삼고개치;모의전새탄황권급석방지가적결과여수술결과상동혹상근자점76%(13/17).(3)재가강대수술의도리해개치점93%(38/41);로내동맥류개체화모형건립난도교대점54%(22/41).결론 재술전모의적조작방법、모의결과적준학성화교학배훈방면구유교호적실용성,재우화개체화로내동맥류모형적건모방법방면치득진일보연구.
Objective To explore the value and pitfall of virtual three - dimensional individual cerebral aneurysm and instrument models in interventional preoperative simulation.Methods The individual simulation results of 17 patients with interventional preoperative cerebral aneurysms were retrospectively analyzed and compared with the results of actual surgery.To evaluate the value and pitfall in the time - consuming of preoperative simulation and modeling, the simulation results of optimal showing angle of the aneurysm, the simulation pathway of inserting catheter, the simulation results of coil and stent placement accuracy and simulation results in teaching and training were evaluated.Results (1)The practical value of establishing individual cerebral aneurysm model was not ideal because of longer time -consuming.The practical value of preoperative simulation could be accepted because of shorter time -consuming.(2)The simulation results of optimal showing angle of the aneurysm had some practical value because the accuracy was high (14/17).The simulation results of intubation pathway had reference value to guide a reasonable micro - catheter and micro - wire tip moulding.The simulation results of packing coil and releasing stent compared with actual operation results were the same or similar (13/17).(3) Questionnaire survey results showed that the proportion in enhancing comprehension of the operative intent with a high value was 38/41, the proportion of software operation method with a high difficulty in establishing individual cerebral aneurysm model was 22/41.Conclusions In aspects of operational method of preoperative simulation, the accuracy of simulation results, the teaching and staff training have better practicability.In aspects of optimizing the individual modeling method of cerebral aneurysm is worth further study.
