摘要
目的探讨3D Slicer三维影像重建软件在经侧脑室后角穿刺的脑室-腹腔分流术前设计中的应用价值。方法选取山东第一医科大学第三附属医院神经外科自2020年7月至2021年8月收治的11例脑积水患者的CT影像数据进行分析,所有患者拟行经侧脑室后角穿刺脑室-腹腔分流手术,利用3D Slicer三维影像重建软件对患者影像数据进行三维重建。分析过程包括设计穿刺点位置和穿刺方向,再根据术后复查CT数据对实际穿刺点和穿刺方向与术前的数据进行对比,判断术前计划的准确性。结果所有患者均一次穿刺成功,术后复查CT对患者脑室内分流管位置和方向均满意。手术前设计与术后实际穿刺点位置离枕外粗隆上距离、中线旁开距离和穿刺方向向内角度差异均无统计学意义(P>0.05),但向下穿刺角度差异有统计学意义(P=0.021)。结论对于脑室-腹腔分流手术中需要经侧脑室后角穿刺的患者,利用3D Slicer影像重建软件设计的穿刺点和穿刺方向位置精准,可以作为该疾病术前计划的重要组成部分。
ObjectiveTo evaluate the application value of 3D Slicer image software in the preoperative design of ventriculoperitoneal shuntingviaposterior horn of lateral ventricle.MethodsThe CT image data of 11 patients with hydrocephalus admitted to Neurosurgery Department of the Third Affiliated Hospital of Shandong First Medical University from July 2020 to August 2021 were analyzed.These patients were scheduled to undergo ventriculoperitoneal shunt through the posterior horn of the lateral ventricle,and the 3D Slicer image reconstruction software was used to reconstruct the patient’s image data.The analysis processes include designing the puncture location and direction.Then,according to the postoperative CT data,the actual puncture location and puncture direction were compared with the preoperative data to judge the accuracy of the preoperative plan.ResultsAll patients were successfully punctuted once,and postoperative CT scans were satisfactory for the location and direction of the ventricle drainage tube.There were no significant differences between the preoperative design and the actual postoperative puncture site in the distance above the external occipital protuberance,the distance lateral to the midline and the angle within the puncture direction(P>0.05),but the difference in the puncture direction downward puncture angle was statistically significant(P=0.021).ConclusionFor patients who need puncture through the posterior horn of the lateral ventricle during ventriculoperitoneal shunt surgery,the precise puncture point and puncture direction designed by 3D Slicer image reconstruction software can be used as an important part of the preoperative planning.
作者
王奎重
王天助
袁冶
胡金娜
杜嘉庚
袁绍纪
Wang Kuizhong;Wang Tianzhu;Yuan Ye;Hu Jinna;Du Jiageng;Yuan Shaoji(Department of Neurosurgery,The Third Affiliated Hospital of Shandong First Medical University,Ji'nan 250031,China;Department of Neurology,The Third Affiliated Hospital of Shandong First Medical University,Ji'nan 250031,China)
出处
《中华神经创伤外科电子杂志》
2022年第6期361-364,共4页
Chinese Journal Of Neurotraumatic Surgery：Electronic Edition
基金
山东省医药卫生科技发展计划项目(202004090043)
