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混合现实辅助的激进内镜甲状腺切除术

Peng Zhang1, Yifan Ke1, Jiezhong Wu1

  • 1The Third Affiliated Hospital of Sun Yat-Sen University.

Journal of visualized experiments : JoVE
|February 17, 2025
PubMed
概括

混合现实 (MR) 提高了外科医生的表现,并减少了激进内镜甲状腺切除术 (ET) 期间的努力. 这项技术显示了提高ET程序安全性的潜力.

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科学领域:

  • 手术创新 在外科创新.
  • 医疗技术 医疗技术 医学技术
  • 3D可视化 3D可视化

背景情况:

  • 激进的内镜甲状腺切除术 (ET) 提供了美容效益,但由于甲状腺解剖学,它存在风险.
  • 混合现实 (MR) 为手术规划和导航提供实时全息可视化.
  • 目前的ET技术面临着可见性和潜在并发症的挑战.

研究的目的:

  • 开发和评估MR辅助激进ET的疗效.
  • 评估MR对手术结果和外科医生经验的影响.
  • 探索MR在提高ET安全性和性能方面的潜力.

主要方法:

  • 使用3Dslicer从CT图像中半自动3D重建部解剖学.
  • 在Unity3D中创建虚拟全息图,用于在MR头盔安装显示器 (HMD) 上显示.
  • 随机对照试验将MR辅助ET与传统ET进行比较.

主要成果:

  • MR 组报告了显著更高的"自身绩效"和较低的"努力"得分 (NASA任务负载指数).
  • 利克尔特等级上的主观评价分数在MR组的所有问题中都超过3分.
  • 虽然MR组的并发症较少,但手术结果的差异在统计学上并不显著.

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结论:

  • 核磁共振技术有助于开发用于手术指导的3D部模型和虚拟全息图.
  • 核磁共振增强了外科医生的表现,并减少了在激进ET期间感知到的工作负载.
  • 显微镜显着有望提高内镜甲状腺切除术的安全性和效率.