CAJ | 학술논문

目的：通过探索虚拟现实技术来寻找一种施行经前后路联合治疗腰椎转移性肿瘤的途径。方法基于腰椎64排螺旋CT连续薄层二维图像,Mimics软件分别重建正常腰椎、破坏病椎、腹主动脉及双侧肾脏的三维可视化结构,在三维模型拟行经过前路病灶清除、钛网骨水泥支撑和后路椎弓根螺钉内固定术。结果基于Dicom格式数据进行三维重建图像结构清晰,可真实再现病椎和邻近脏器的结构,整个虚拟仿真手术真实直观。结论虚拟仿真手术可准确重建腰椎恶性肿瘤及邻近结构的三维立体结构,明确病椎清除范围,经后路重建脊柱序列,能为患者个体化治疗方案提供客观依据。
목적：통과탐색허의현실기술래심조일충시행경전후로연합치료요추전이성종류적도경。방법기우요추64배라선CT련속박층이유도상,Mimics연건분별중건정상요추、파배병추、복주동맥급쌍측신장적삼유가시화결구,재삼유모형의행경과전로병조청제、태망골수니지탱화후로추궁근라정내고정술。결과기우Dicom격식수거진행삼유중건도상결구청석,가진실재현병추화린근장기적결구,정개허의방진수술진실직관。결론허의방진수술가준학중건요추악성종류급린근결구적삼유입체결구,명학병추청제범위,경후로중건척주서렬,능위환자개체화치료방안제공객관의거。
Objective Through the exploration of virtual simulation surgery to find a way to treat lumbar spinal metastases. Methods Based on 64 row spiral CT continuous 2-dimensional images of lumbar segments, normal lumbar vertebral, destruction of disease, abdominal aorta and kidneys were reconstructed by the Mimics software. 3D visualization structure was contemplated by anterior lesions clear, titanium mesh of bone cement support, and posterior pedicle screw fixation. Results The three-dimensional reconstruction distinctly displayed the structures of lumbar and its adjacent organs, and the entire virtual simulation surgery was intuitive. Conclusion The application of virtual simulation surgery ensures more accurate 3D model of lumbar establishment and its adjacent organs, and it provides an objective basis for in-dividualized treatment programs.