在选择性动脉瘤手术中使用虚拟现实规划的最小侵入性方法
Ladina Greuter1, Tabea Stoessel1, Florian Ebel1
1Department of Neurosurgery, University Hospital Basel, Basel, Switzerland.
Frontiers in surgery
|December 22, 2025
概括
虚拟现实 (VR) 对于未破裂的内动脉瘤 (UIAs) 的手术规划显著减少了切切除的大小和住院时间. 这种创新方法通过为外科医生提供详细的3D解剖模型以进行精确的规划,从而提高微手术剪切结果.
科学领域:
- 神经外科 神经外科
- 医疗成像医学成像
- 手术技术 手术技术
背景情况:
- 微手术剪切仍然是未破裂的内动脉瘤 (UIA) 的关键治疗方法.
- 虚拟现实 (VR) 为手术规划提供先进的3D解剖建模.
- 虚拟现实整合旨在改善神经外科手术中的患者结果.
研究的目的:
- 评估基于VR的手术规划对骨切割大小和UIA剪切的方法类型的影响.
- 评估VR作为微手术UIA治疗辅助的有效性.
主要方法:
- 对接受UIA选择性微手术剪切的患者进行了回顾性队列研究.
- 利用了 SpectoMedical® VR 平台进行手术前规划.
- 测量了骨切割的大小和住院时间;分析了手术时间.
主要成果:
- 基于VR的规划导致了显著更小的骨切割大小 (13.22厘米2比20.31厘米2).
- 在VR组的患者体验到更短的住院时间 (7.89天 vs 10.04天).
- 多变量分析证实VR计划减少了6.2厘米2的骨切割大小.
结论:
- 基于VR的手术规划与减少骨切割尺寸和UIAs更短的住院时间有关.
- 虚拟现实增强了微手术剪切,提供了手术内已见效应,提高了手术精度.
- 虚拟现实是UIA治疗中术前规划的一个有价值的辅助.
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