[1]张　逵　罗　波　唐　辉　谢国强.3D Slicer软件评估脑积水术后早期疗效的价值[J].中国临床神经外科杂志,2021,26(07):518-520.[doi:10.13798/j.issn.1009-153X.2021.07.007]
　ZHANG Kui,LUO Bo,TANG Hui,et al.Value of 3D Slicer software in evaluating early postoperative efficacy of patients with hydrocephalus[J].,2021,26(07):518-520.[doi:10.13798/j.issn.1009-153X.2021.07.007]
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3D Slicer软件评估脑积水术后早期疗效的价值()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年07期
页码:
518-520
栏目:
论著
出版日期:
2021-07-25

文章信息/Info

Title:
Value of 3D Slicer software in evaluating early postoperative efficacy of patients with hydrocephalus
文章编号:
1009-153X（2021）07-0518-03
作者:
张　逵　罗　波　唐　辉　谢国强
637000 四川，南充市中心医院（川北医学院第二临床医学院）神经外科（张　逵、罗　波、唐　辉）；712000 陕西咸阳，陕西省核工业二一五医院神经外科（谢国强）
Author(s):
ZHANG Kui1;  LUO Bo1;  TANG Hui1;  XIE Guo-qiang2.
1. Department of Neurosurgery, Nanchong Central Hospital (The 2nd Clinical Medicine School, North Sichuan Medical College), Nanchong 637000, China; 2. Department of Neurosurgery, The 215th Hospital of Nuclear Industry, Xianyang 712000, China
关键词:
脑积水; 手术; 疗效; 3D Slicer软件; 三维重建; 侧脑室
Keywords:
Hydrocephalus;  Surgery;  3D Slicer;  Three-dimentional reconstruction;  Lateral ventricle
分类号:
R 742.7; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2021.07.007
文献标志码:
A
摘要:
目的 探讨3D Slicer软件评估脑积水术后早期疗效的价值。方法 2017年1月至2020年10月前瞻性收集符合标准的脑积水共80例。术前和术后1、7 d，采用3D Slicer法测量侧脑室体积，CT测量侧脑室额角宽度（FHW）。结果 术前侧脑室体积为（76.86±25.25）ml，术后1 d为（52.86±17.28）ml，术后7 d为（37.86±16.31）ml；术后1、7 d侧脑室体积均明显缩小（P<0.05）。术前FHW为（5.59±1.02）cm，术后1 d为（5.35±0.81）cm，术后7 d为（4.76±0.66）cm；术后1 d的FHW无明显变化（P>0.05），术后7 d的FHW明显减小（P<0.05）。结论 对于手术治疗的脑积水病人，3D Slicer软件能在早期发现侧脑室体积变化，在判断疗效、准确告知病情方面有积极作用。
Abstract:
Objective To explore the value of 3D Slicer software in evaluating the early postoperative efficacy of patients with hydrocephalus. Methods Eighty patients with hydrocephalus were prospectively collected from January 2017 to October 2020. 3D Slicer software was used to measure the lateral ventricle volume and CT images were used to measure the frontal horn width (FHW) before operation, 1 and 7 days after operation. Results The volume of lateral ventricle before operation [(76.86±25.25) ml] was signifcantly larger than that [(52.86±17.28) ml] 1 day after operation (P<0.05), which was signifcantly larger than that [(37.86±16.31) ml] 7 days after operation (P<0.05). The FHW before operation [(5.59±1.02) cm] did not significantly differ from that [(5.35±0.81) cm] 1 day after operation (P>0.05), which was signifcantly wider than that [(4.76±0.66) cm] 7 days after operation (P<0.05). Conclusions For hydrocephalus patients undergoing surgery, 3D Slicer software can detect lateral ventricle volume changes in the early postoperative period and has a positive effect on judging the curative effect and informing the patient’s condition accurately.

参考文献/References:

[1] 中国医师协会神经外科医师分会. 中国脑积水规范化治疗专家共识（2013版）[J]. 中华神经外科杂志，2013，29（6）：634-637.
[2] Rubino S, Gabbireddy SR, Altshuler J, et al. Analysis of shunted hydrocephalus follow-up: what doroutine clinic visits yield what factors affect revision surgery presentation and outcomes [J]? J Clin Neurosci, 2020, (82): 76-82.
[3] Zhang L, He JT, Yu YX, et al. Measurement of lateral ven-tricle volume of normal infant based on magnetic resonance imaging [J]. Chin Neurosurg J, 2019, 2(5): 65-70.
[4] Easton AJ, Fernandez A, Albert A. Standardisation and vali-dation of two methods of measurement of the fetal cerebral lateral ventricles [J]. Ultrasound Obstetr Gynecol, 2019, 54(S1): 275-276.
[5] Gonzalo DM, Hernández C, Ruisoto P, et al. Morphological and volumetric assessment of cerebral ventricular system with 3D Slicer software [J]. J Med Syst, 2016, 40(6): 1-8.
[6] 谢国强，周小卫，左　毅，等. 基于智能手机的简易增强现实技术对幕上高血压性脑内血肿定位的价值[J]. 中国临床神经外科杂志，2019，24（6）：345-351.
[7] 王凤伟，杨金庆，薛　勇. 3D-Slicer软件辅助神经内镜手术治疗高血压性基底节区出血[J]. 中国临床神经外科杂志，2020，25（7）：470-471.
[8] 彭逸龙，伍　益，陈少霭，等. 3D-slicer软件+手机sina软件在高血压性脑出血穿刺引流术中的应用[J]. 中国临床神经外科杂志，2018，23（6）：427-429.
[9] 姬　将，赵超云，王明磊，等. Slicer三维可视化后处理软件进行3D-CTA重建诊断颅内破裂动脉瘤的准确性[J].中国临床神经外科杂志，2019，24（8）：476-479.

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备注/Memo

备注/Memo:
基金项目：南充市重点科学技术研究项目（16YFZJ0022）
更新日期/Last Update: 2021-07-25