高清三维外窥镜在头颈部重建中的应用：27 例连续患者的前瞻性分析。
High-definition three-dimensional exoscope for head and neck reconstruction: Prospective analysis of 27 consecutive patients.
机构信息
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele - Milan, Italy.
Otorhinolaryngology Unit, IRCCS Humanitas Research Hospital, Rozzano - Milan, Italy.
出版信息
Head Neck. 2021 May;43(5):1574-1580. doi: 10.1002/hed.26623. Epub 2021 Feb 4.
PURPOSE
To analyze the advantages and disadvantages of a three-dimensional (3D) operating exoscope (OE) in head and neck free flap reconstruction.
METHODS
Twenty-seven consecutive patients (females: 8; mean age: 57.0) were included. After each procedure, both surgeon and nurse were asked to fill out a tailored questionnaire on a three-point Likert scale including 12 items.
RESULTS
All microvascular anastomoses were successfully completed, and no related complications were detected with a final free flap survival rate of 100% (mean follow-up of 5.6 months, SD: 3.1 months). The ergonomics, the ease of use, and the possibility to share the view among all the OR members were the best-rated items by the surgeons, while the luminance of the surgical field and the eye strain determined by the 3D glasses can still be improved.
CONCLUSION
Further comparative clinical studies are needed to clarify its real value in substitution to a conventional operating microscope.
目的
分析三维（3D）手术显微镜在头颈部游离皮瓣重建中的优缺点。
方法
连续纳入 27 例患者（女性 8 例；平均年龄 57.0 岁）。在每次手术结束后，术者和护士均需根据 12 项条目内容，使用 3 分制李克特量表回答一份专门设计的调查问卷。
结果
所有微血管吻合均成功完成，且无相关并发症，游离皮瓣存活率为 100%（平均随访 5.6 个月，SD：3.1 个月）。术者对手术显微镜的操作便利性、协作性和手术野亮度评价最高，而手术视野的亮度和 3D 眼镜引起的眼疲劳有待进一步改善。
结论
需要进一步的临床对比研究来明确其在替代传统手术显微镜方面的真正价值。
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