›› 2021, Vol. 41 ›› Issue (8): 709-714.

• 临床研究 • 上一篇    下一篇

多模态混合现实技术在颅颌面头颈肿瘤中的临床应用

闫大勇1,蔡晓清2,郭乐乐2,钟克涛2,张瑞1   

  1. 1. 郑州市中心医院
    2. 郑州大学附属郑州中心医院口腔颌面外科
  • 收稿日期:2020-10-15 修回日期:2021-02-27 出版日期:2021-08-28 发布日期:2021-08-28
  • 通讯作者: 张瑞 E-mail:sihouniaorx7305@163.com
  • 基金资助:
    河南省高等学校重点科研项目;河南省医学科技攻关计划(联合共建)项目

Clinical application of multimodal mixed reality technology in the craniofacial, head and neck tumor

  • Received:2020-10-15 Revised:2021-02-27 Online:2021-08-28 Published:2021-08-28
  • Contact: rui zhangzhang E-mail:sihouniaorx7305@163.com

摘要: 目的 探讨多模态混合现实技术在颅颌面头颈肿瘤诊治中的临床应用,以期为肿瘤治疗提供参考,提升手术效率,改善患者预后。方法 回顾性分析本院收治的46例接受手术的颅颌面头颈肿瘤患者为研究对象。其中对照组患者进行患区磁共振成像和电子计算机断层扫描,之后基于传统二维影像资料进行手术。观察组患者则在此基础上,采用Mimics 20.0软件进行数据处理、融合,通过多模态混合现实(MR)技术进行三维模型重建,辅助术前分析和术中引导。分析术前各组患者的沟通时间、满意度,以及沟通后的焦虑情况;手术时间,术中出血量,术后并发症及康复情况。结果 与对照组相比,观察组术前沟通时间更少,满意度更高,焦虑情绪更少,手术时间更短,术中的出血量更少,差异均有统计学意义(P<0.05)。此外,对照组患者中有11例出现术后并发症,而观察组患者中仅有4例。康复方面,患者的语言沟通能力、日常生活能力和预后得分均有明显的组间差异,观察组各能力得分均明显好于对照组。结论 MR成像技术能充分展示颌面部肿瘤的情况,帮助减少术前沟通时间和患者焦虑情绪,同时降低并发症的发生风险,改善患者预后,促进患者康复,在临床上可进一步推广。

关键词: 多模态混合现实技术, 颅颌面头颈肿瘤, 预后, 康复

Abstract: Objective  To investigate the clinical application of multimodal mixed reality technology in the treatment of craniofacial, head and neck tumor, thus providing a reference for the treatment of tumor, enhancing the treatment efficiency of the disease, and improving the prognosis of patients. Methods Forty-six cases of craniofacial head and neck tumor treated in our hospital were analyzed retrospectively, who were divided into two groups. The patients in the control group accepted the examination of magnetic resonance imaging, computed tomography, and then they underwent surgery based on these traditional two-dimensional imaging data. Patients in the observation group used Mimics software for data processing and fusion, and the three-dimensional model was constructed by mixed reality (MR) technology, which assisted preoperative analysis and intraoperative guidance. The communication time, satisfaction, and anxiety of the patients in each group before operation were collected. The operation time, amount of bleeding during operation, postoperative complications and recovery were recorded. Results Compared with the control group, there was less preoperative communication time, higher level of satisfaction, less anxiety, shorter operation duration, and less intraoperative blood loss in the observation group. The differences were statistically significant (P<0.05). In addition, 11 patients in the control group had postoperative complications, while only 4 patients in the observation group occurred. As for rehabilitation, there were obvious differences in language communication ability, activity of daily living and prognostic scores between two groups (P<0.05). All rehabilitation scores in the observation group were better than the control group. Conclusion The status of craniofacial head, and neck tumors can be fully demonstrated by multimodal MR imaging technology, which helps to reduce the time of preoperative communication and relieve anxiety, reduce the occurrence of postoperative complications, improve patient prognosis and promote patient recovery. The new technology can be further promoted in clinic.

Key words: Multimodal mixed reality technology, Head and neck tumors, Prognosis, Rehabilitation