摘要
目的对比分析数字化自动测量与人工手动测量腹壁皮下动脉穿支皮瓣(DIEP)穿支点位置的准确性、耗时差异及临床医生满意度。方法使用人体模型模拟腹壁下动脉穿支设置的标记点,记录标记点位置信息的实际测值,并获取其CT扫描数据作自动测量及手动测量,验证数字化自动测量准确性。回顾性分析该院2015年11月11日至2021年3月19日33例乳腺癌拟行DIEP自体乳房再造术患者的CT数据,对选取的最大穿支点位置信息(以肚脐为参考点垂直上下径及左右径)分别进行数字化自动测量和传统手工测量,对比耗时情况,并由临床手术医师分别对两种方法所提供的测值结果、图像所能展示的信息进行满意度评价。结果人体模型自动测量、手动测量及实际值比较,差异无统计学意义(P>0.05)。数字化自动测量单支血管耗时较手动测量耗时缩短,差异有统计学意义[(67.89±9.86)s vs.(106.00±10.13)s,P<0.001];数字化自动测量的3D视图模式及多支穿支血管的全局展示临床满意度评分更高。结论数字化自动测量与手动测量测值均准确可靠,而数字化自动测量耗时更短,可提供更多附加信息,临床满意度更高。
Objective To compare and analyze the accuracy,time-consuming difference and clinician satisfaction of digital automatic measurement and manual measurement of the puncture point position of deep inferior epigastric deep inferior epigastric perforator flap(DIEP).Methods The human model was used to simulate DIEP to set up the mark points,and the actual measured value of the position information of the mark points was recorded.After that,the CT scan data were obtained to conduct the automatic and manual measurement for verifying the accuracy of the digital automatic measurement.The CT data of 33 patients with breast cancer undergoing DIEP autologous breast reconstruction in this hospital from November 11,2015 to March 19,2021 were retrospectively analyzed.The selected position information of the maximum puncture point(vertical upper and lower diameter and left and right diameter using navel as reference point)were conducted the digital automatic measurement and traditional manual measurement respectively,and the time consumption was compared.The satisfaction of the measurement results provided by the two methods and the information possibly displayed by the images were evaluated by the clinical surgeons.Results There was no statistically significant difference among the automatic measurement,manual measurement and actual value of the mannequin(P>0.05).The time-consumption in the digital automated measurement of single vessel was less than that in the manual measurement,and the difference was statistically significant[(67.89±9.86)s vs.(106.00±10.13)s,P<0.001];the 3D view mode of digital automatic measurement and the global display of multiple perforator vessels had higher clinical satisfaction scores.Conclusion The digital automated and manual measurements both are accurate and reliable,whereas the digital automated measurements have less time consuming and could provide more additional information with higher clinical satisfaction.
作者
谭勇
吴丹
刘代洪
张菁
杨露
林檬
张久权
TAN Yong;WU Dan;LIU Daihong;ZHANG Jing;YANG Lu;LIN Meng;ZHANG Jiuquan(Department of Radiology,Chongqing University Affiliated Tumor Hospital,Chongqing 400030,China)
出处
《重庆医学》
CAS
2022年第20期3534-3538,共5页
Chongqing medicine
关键词
腹壁皮下动脉穿支皮瓣
乳腺再造术
计算机断层扫描术
数字化自动测量
deep inferior epigastric perforator flap
breast reconstruction
computer tomography
digital automatic measurement
