虚拟现实和混合现实辅助内镜DCR在极其复杂的眼阻塞中
Rafal Nowak1,2, Izabela Nowak-Gospodarowicz1, Marek Rękas1
1Department of Ophthalmology, Military Institute of Medicine-National Research Institute, Warsaw, Poland.
The Laryngoscope
|March 21, 2024
概括
虚拟现实 (VR) 和混合现实 (MR) 增强了复杂阻塞的内透视达克里奥基斯托里诺托米 (DCR). 这些技术有助于规划和执行具有挑战性的手术,用于先天性或获得的鼻液管阻塞.
科学领域:
- 眼科医生 眼科 眼科
- 手术技术 手术技术
- 医疗成像医学成像
背景情况:
- 复杂的鼻液管阻塞带来了重大的外科手术挑战.
- 传统的内镜达克里奥西斯托利诺斯托米 (DCR) 可能在高度扭曲的解剖学方面存在局限性.
研究的目的:
- 评估虚拟现实 (VR) 和混合现实 (MR) 辅助动力内镜DCR的有效性和技术.
- 评估VR和MR在治疗复杂综合征性先天性鼻管阻塞 (CNLDO) 和创伤后的二次获得的眼管阻塞 (SALDO) 中的有用性.
主要方法:
- 一项前性非随机临床研究,涉及复杂CNLDO和SALDO患者.
- 使用VR模型进行手术前规划和在MR协助下进行手术内指导.
- 利用3D和实时数字模型在内镜DCR期间进行外科导航.
主要成果:
- 虚拟现实模型有助于对改变的解剖结构进行详细的手术前评估.
- 核磁共振提供了手术内可视化,而不会扰乱内镜程序.
- 外科医生可以在手术期间虚拟操纵MR模型进行复杂的解剖研究.
结论:
- VR和MR辅助的动力内镜DCR为极其具有挑战性的案例提供了可行的替代方案.
- 这种方法对复杂综合征性CNLDO和创伤后的SALDO具有严重的解剖学变形尤为有益.
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