作　　者： (李云婧）; (李宬润）; (马永富）; (刘阳）;

机构地区： 中国人民解放军总医院胸外科,北京100853

出　　处： 《中华肺部疾病杂志（电子版）》 2017年第4期461-464,共4页

摘　　要： 目的探讨三维虚拟现实导航技术(VR)对于胸腔镜下肺段切除术中及术后的影响。方法选取解放军总医院2016年10月至2017年2月中8例胸腔镜下肺段切除手术作为研究对象,随机分为VR辅助组和传统组,对比术中出血量、手术时间及术后恢复时间的差异。结果 VR组术中出血量较传统组明显减少(12.25±2.22 vs.60.25±9.74)ml,VR组手术时间较传统组显著缩短(84.50±5.57 vs.116.50±6.61)min;VR组术后恢复时间较传统组略有缩短(4.25±0.96 vs.8.00±0.82)d。(P<0.05)。结论利用虚拟现实导航技术进行术前评估,详细制定手术计划,规划手术路线,术中实时导航,预显示重要解剖结构,切实减少了肺段切除手术的难度,对于肺段切除手术的普及具有重大意义。 Objective To investigate the impact of 3D virtual reality navigation technology （VR） for VATS lung segmentectomy. Methods All 8 cases with early stage of lung cancer were randomly divided into 2 groups from Department of Thoracic Surgery, The General Hospital of PLA from October 2016 to February, 2017 among which one group was operated with the navigation of VR. The intraoperative blood loss, operation time and postoperative recovery time were observed. Results The operation time of VR group was significantly shorter than the traditional（84.50±5.57 vs. 116.50±6.61）min, the amount of bleeding was significantly less （ 12.25±2.22 vs. 60.25±9.74） ml and the postoperative recovery time shortened （4.25±0.96 vs. 8.00＋0.82） d （P〈0.05）. Conclusion Using the technology of virtual reality navigation to evaluate the operation plan, to plan the operation route, to navigate in time and to display the important anatomical structure, effectively reduces the difficulty of pulmonary segmental resection, which is of great significance for the popularity of lung segmenteetomy.

关 键 词： 虚拟现实导航技术 肺段切除手术 胸腔镜