中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (13): 2425-2428.doi: 10.3969/j.issn.1673-8225.2011.13.034

• 骨与关节综述 bone and joint review • 上一篇    下一篇

虚拟现实技术在髋臼手术中的应用

王  玫1，张月东2，张兰华1   

  1. 1泰山医学院 信息工程学院，山东省泰安市271016
    2泰安市中心医院骨外科，山东省泰安市271000
  • 收稿日期:2010-11-08 修回日期:2010-11-08 出版日期:2011-03-26 发布日期:2013-10-23
  • 作者简介:王玫★，女，1980年生，山东省泰安市人，汉族，2004年山东科技大学毕业，硕士，讲师，主要从事软件工程、医学图像处理研究。 wangm@tsmc.edu.cn

Utilization of virtual reality technology in acetabular surgery

Wang Mei1, Zhang Yue-dong2, Zhang Lan-hua1   

  1. 1College of Information Engineering, Taishan Medical University, Taian  271016, Shandong Province, China
    2Department of Orthopedics, Taian Central Hospital, Taian  271000, Shandong Province, China
  • Received:2010-11-08 Revised:2010-11-08 Online:2011-03-26 Published:2013-10-23
  • About author:Wang Mei★, Master, Lecture, College of Information Engineering, Taishan Medical University, Taian 271016, Shandong Province, China wangm@tsmc.edu.cn

PDF

351

被引次数

16

摘要：

背景：目前国外已经对医学虚拟现实，尤其是在虚拟医学手术仿真训练等方面都进行了一定的研究和实践，但并不能完全适应骨科手术的临床需要。而髋臼骨折因其复杂性治疗困难，临床医师选择适当治疗方案和手术入路的主要依据来源于影像学检查，常难以准确判断空间立体关系。
目的：综合分析虚拟现实技术在髋臼手术中的应用情况。
方法：作者于2010-10通过互联网计算机检索了中国期刊全文数据库(CNKI)、PubMed数据库、万方数据库及维普数据库1980-01/2010-10以中文或英文公开发表的有关髋臼虚拟手术系统研究方面的论文，以有限元模型(Finite element model)、髋臼骨折(Acetabular fracture)、虚拟手术(Virtual Surgery)为检索词，排除方法重复、相关参数未做详细介绍的论文。
结果与结论：初检得到115篇文献，保留其中32篇文献进一步分析。结果显示，髋臼虚拟手术系统可对髋臼的复杂特性进行分析，并提供在三维虚拟空间进行交互操作，以方便医生对患者的病患部位进行观察和虚拟的手术模拟，从而做出及时、准确的诊断并确定手术方案。建立可供骨科手术和手术前规划使用的虚拟平台，在医学骨科手术教学和仿真训练等方面都有良好的应用前景。

关键词: 髋臼骨折, 三维重建, 面绘制, 虚拟手术, 有限元模型

Abstract:

BACKGROUND: At present, abroad has carried out some research and practice on the medical virtual reality technology, especially in a virtual medical simulation training and other aspects of surgery, but it does not fully meet the needs of clinical orthopedic surgery. The acetabular fractures are difficult to treat because of its complexity. Clinicians select appropriate treatment options and surgical approaches according to imaging studies, which are difficult to accurately determine the spatial three-dimensional relationship.
OBJECTIVE: To review the application of virtual reality technology in acetabular surgery. 
METHODS: CNKI, PubMed, Wanfang and VIP databases were searched for papers addressing application of virtual reality in acetabular surgery using key words of “finite element model, acetabular fracture, and virtual surgery” both in English and Chinese. The repetitive studies or papers with blur parameter were removed.
RESULTS AND CONCLUSION: Totally 115 documents were initial searched by computer, and 32 papers were included in this review. Acetabular virtual surgery system can analyze the complex of acetabulum and simulate the actual situation, thus, provides a 3-dimensional virtual procedure for clinical operations. A virtual platform can provide guidance for making preoperative plan, which has good prospect in medical surgery teaching and simulation training.

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