Yarboro S R, Richter P H, Kahler D M
Dept. of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Suite 330, Charlottesville, VA 22903, USA.
Klinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Ulm, Ulm, Germany.
Unfallchirurg. 2017 Dec;120(Suppl 1):5-9. doi: 10.1007/s00113-016-0226-9.
Three-dimensional (3D) imaging can enhance trauma care by allowing better evaluation of bony detail and implant position compared to conventional fluoroscopy or x‑ray. Intraoperative 3D imaging further improves this evaluation by allowing any necessary revisions to be made in the operating room prior to the patient emerging from anesthesia. This revision, if necessary, better achieves the surgical goals and alleviates the stressful situation of obtaining postoperative 3D imaging, where the benefit of revision must be balanced against the cost and risk of returning to the operating room. Improved image volume, resolution, and software capability have allowed surgeons to obtain high-quality, wide field views of bony anatomy that can include the uninjured side as a comparison. In this paper, the evolution of intraoperative 3D imaging over the past 25 years is discussed.
与传统的荧光透视或X光相比，三维（3D）成像能够更好地评估骨质细节和植入物位置，从而提升创伤护理水平。术中3D成像通过在患者麻醉苏醒前于手术室进行任何必要的修正，进一步改善了这种评估。如有必要，这种修正能更好地实现手术目标，并缓解获取术后3D成像时的紧张局面，因为此时修正的益处必须与返回手术室的成本和风险相权衡。图像容积、分辨率和软件功能的提升，使外科医生能够获得高质量、包含未受伤侧作为对照的骨骼解剖结构的宽视野图像。本文将探讨术中3D成像在过去25年中的发展历程。
