三维数字化手术设计在青少年特发性脊柱侧凸个性化手术中应用

doi:10.13418/j.issn.1001-165x.2015.06.019

中国临床解剖学杂志 ›› 2015, Vol. 33 ›› Issue (6): 706-711.doi: 10.13418/j.issn.1001-165x.2015.06.019

三维数字化手术设计在青少年特发性脊柱侧凸个性化手术中应用

付裕¹，　李筱贺²，　霍洪军¹，　杨学军¹，　肖宇龙¹，　邢文华¹，　赵岩¹，　辛大奇¹

1.内蒙古医科大学第二附属医院脊柱外科，呼和浩特市 010030；　2.内蒙古医科大学基础医学院
人体解剖教研室，呼和浩特市 010110

收稿日期:2015-04-12 出版日期:2015-11-25 发布日期:2015-12-18
通讯作者: 李筱贺，博士，副教授，Tel：18247135005，E-mail：798242742@qq.com 霍洪军，主任医师，教授，硕士生导师，Tel：13604714168
作者简介:付裕（1979-）男，内蒙古自治区鄂尔多斯市人，医学博士，副主任医师，主要从事脊柱外科临床工作
基金资助:
国家自然科学基金(81460330)；内蒙古自然科学基金(2012MS1117)；内蒙古自治区高等学校“青年科技英才计划”（NJYT-15-05);内蒙古自然科学基金（2015MS08101);内蒙古医科大学中青年人才团队（NYTD-2015002）

3D digital preoperative design on adolescent idiopathic scoliosis and its application

FU Yu¹, LI Xiao-he², HUO Hong-jun¹，YANG Xue-jun¹, XIAO Yu-long¹, XING Wen-hua¹, ZHAO Yan¹, XIN Da-qi¹

1. Department of Spine Surgery, Second Affiliated Hospital, Inner Mongolia Medical University, Hohhot 010110, China; 2. Department of Anatomy, Basic Medical College of Inner Mongolia Medical University, Hohhot, 010110, China

Received:2015-04-12 Online:2015-11-25 Published:2015-12-18

摘要/Abstract

摘要：

目的　探讨青少年特发性脊柱侧凸数字化虚拟手术设计系统建立的方法及其在临床应用中的价值。方法选取1例青少年特发性脊柱侧凸患者，经16排螺旋CT扫描获取影像数据。采用Mimics 16.01软件对脊柱侧凸影像数据进行三维重建，并对三维重建模型进行数字化三维测量及置钉手术模拟。测量固定内植物的长度、横径及方向，模拟手术经过并在临床应用中使用术前模拟数据。结果重建出青少年特发性脊柱侧凸的三维数字化虚拟可视模型，配准虚拟螺钉和椎弓根-肋骨复合体的位置，使虚拟螺钉不穿透椎弓根内侧皮质及椎体前缘，设定完整的手术方案。利用术前规划方案进行手术，手术置钉效果满意，无螺钉穿透椎体前缘皮质和椎管皮质。结论验证了特发性脊柱侧凸手术术前三维数字化手术设计并制定手术方案，可以显著提高手术成功率。

关键词: 青少年特发性脊柱侧凸, 椎弓根-肋骨复合体, 椎弓根, 数字化, 三维立体

Abstract:

Objective　To study the methods of 3D digital preoperative design on adolescent idiopathic scoliosis and the application value of it.　Methods　One adolescent idiopathic scoliosis patient was chosen，Mimics16.01 was used to reconstruct 3D model，and measure the parameter of the pedicle rib complex screw angle，screw length and width of screw，and parameter was applied in operation. Results　The 3D model of adolescent idiopathic scoliosis was reconstructed，and the screw and pedicle rib complex was positioned，and the screw was prevented to penetrate the pedicle and vertebral body；the plan of operation was carried out, and the screw didn’t penetrate the pedicle and vertebral body.　Conclusion　The digitalized visualization of adolescent idiopathic scoliosis could increase the success ratio.

Key words: Adolescent idiopathic scoliosis, Pedicle rib complex, Pedicle, Digital, Three-dimension

付裕,李筱贺,霍洪军,杨学军,肖宇龙,邢文华,赵岩,辛大奇. 三维数字化手术设计在青少年特发性脊柱侧凸个性化手术中应用[J]. 中国临床解剖学杂志, 2015, 33(6): 706-711.

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三维数字化手术设计在青少年特发性脊柱侧凸个性化手术中应用

3D digital preoperative design on adolescent idiopathic scoliosis and its application

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