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基于血肿边缘关键点设置的 3D 可视化技术在基层医院急诊高血压脑出血手术中的应用。

Application of 3D visualization technology based on hematoma edge key points setting for emergency hypertensive cerebral hemorrhage surgery in primary hospitals.

机构信息

Department of Neurosurgery, Affiliated Kunshan Hospital of Jiangsu University, Suzhou 215300, PR China.

Department of Neurosurgery, The Yancheng Clinical College of Xuzhou Medical University, The First people's Hospital of Yancheng, Yancheng, PR China.

出版信息

J Clin Neurosci. 2024 Jan;119:39-44. doi: 10.1016/j.jocn.2023.10.019. Epub 2023 Nov 17.

DOI:10.1016/j.jocn.2023.10.019
PMID:37979309
Abstract

OBJECTIVE

This study aims to explore the application potential of 3D visualization technology based in emergency hypertensive cerebral hemorrhage surgery in primary hospitals. The specific goal is to use 3DSlicer software to perform 3D reconstruction and body surface projection on patients with hypertensive cerebral hemorrhage, provide accurate hematoma location information, help surgeons determine the specific location of hematoma on the body surface, and reduce the expansion of surgical incisions.

METHODS

3D reconstruction technology based on 3DSlicer software was employed to process CT images of patients with cerebral hemorrhage. By segmenting and reconstructing the images, a 3D model of the hematoma was generated and projected onto the patient's body surface. Utilizing the functionalities of 3DSlicer software in conjunction with the surgeon's anatomical knowledge, accurate hematoma positioning on the body surface was achieved.

RESULTS

23 patients were enrolled in this study, and underwent successful surgical evacuation. The implementation of 3D visualization technology using 3DSlicer software is expected to provide precise hematoma localization information for emergency hypertensive intracerebral hemorrhage surgery in primary hospitals. This approach will enable surgeons to accurately determine the appropriate surgical incision, thereby minimizing unnecessary trauma and improving the overall success rate of surgery.

CONCLUSION

This study demonstrates the potential application of 3D visualization technology based on 3DSlicer software in emergency hypertensive cerebral hemorrhage surgery within primary hospitals. By utilizing 3DSlicer software for hematoma localization, accurate information support can be provided to assist surgeons in managing patients with hypertensive cerebral hemorrhage.

摘要

目的

本研究旨在探讨基于三维可视化技术在基层医院急诊高血压性脑出血手术中的应用潜力。具体目标是利用 3DSlicer 软件对高血压性脑出血患者进行三维重建和体表投影,提供准确的血肿位置信息,帮助外科医生确定血肿在体表的具体位置,减少手术切口的扩大。

方法

采用基于 3DSlicer 软件的三维重建技术对脑出血患者的 CT 图像进行处理。通过对图像进行分割和重建,生成血肿的三维模型,并将其投影到患者的体表上。利用 3DSlicer 软件的功能结合外科医生的解剖学知识,实现了对体表血肿的精确定位。

结果

本研究共纳入 23 例患者,均成功进行了手术清除。预计 3DSlicer 软件的三维可视化技术的实施将为基层医院急诊高血压性脑出血手术提供精确的血肿定位信息。这种方法将使外科医生能够准确确定合适的手术切口,从而最大限度地减少不必要的创伤,并提高手术的整体成功率。

结论

本研究表明,基于 3DSlicer 软件的三维可视化技术在基层医院急诊高血压性脑出血手术中有潜在的应用价值。通过利用 3DSlicer 软件进行血肿定位,可以为管理高血压性脑出血患者提供准确的信息支持。

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