经鼻内镜手术鞍区三维解剖学研究
*目的**
旨在开发一种新方法,用于探索经鼻内镜手术中鞍区解剖结构的立体特征。
**方法**
(1) 对 MicronTracker 双目视觉导航系统进行了改良,并通过与游标卡尺及转台进行比对,对该工具的测量精度进行了测试。(2) 以鼻基底平面和正中矢状面为基准面,以 S 点(鼻棘外侧缘点)和 M 点(上颌线中点)为基准点,对相关解剖结构进行定位。利用基于 MicronTracker 双目视觉导航系统自行设计的测量工具,对重要解剖结构的俯仰角、方位角及距离进行了测量,并据此构建了计算机图形模型。
**结果**
(1) 该测量工具的精度与游标卡尺及转台相比,无统计学差异。(2) 成功获取了重要解剖结构的俯仰角、方位角及距离数据。(3) 利用 3D-max 9.0 和 AutoCAD-2008 软件,建立了鞍区解剖结构的立体解剖模型。
**结论**
基于颅骨上的特定标志点及基准面,可获取重要解剖结构的定位数据,并可据此构建鞍区解剖结构的立体模型
[Three-dimensional anatomical research on sellar region for transnasal endoscopic surgery].
Zhonghua er bi yan hou tou Jing wai ke za zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 01 Apr 2009, 44(4):318-322Language:chi
PMID: 19558841
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Abstract
Objective
To develop a new method to explore the three-dimensional characteristics of anatomical structures at the sellar region in transnasal endoscopic surgery.Methods
(1) The MicronTracker binocular visual navigation system was modified, and the tool's accuracy was tested by comparing the vernier caliper and turntable. (2) The basis nasi plane and median sagittal plane were used as datum plane, S point (the lateral margin point of nasal spine) and M point (maxillary line midpoint) were used as datum point to orientate the structures. The pitching angle, direction angle and distance of the important structures were measured by the tool designed by us based on the MicronTracker binocular visual navigation system and made a computer graphics model.Results
(1) The tool's accuracy had no statistical difference as compared with vernier caliper and turntable. (2) The pitching angle, direction angle and distance of the important structures were obtained. (3) 3D-max 9.0 and AutoCAD-2008 were used to set up three-dimensional anatomical model of the anatomical structures.Conclusion
Based on the familiar point and datum of the skull, the orientation data of the important structures could be obtained and the three-dimensional model of the sella region anatomical structures could be constructed.