甲状腺三维重建在腔镜甲状腺切除术中的应用

目的:探讨甲状腺三维成像技术在腔镜甲状腺手术中的应用价值。方法:选取2011年8月～12月48例甲状腺疾病患者的原始CT扫描图像,应用Mimics 10.01软件,对甲状腺腺体、甲状腺肿物、甲状腺血管、胸锁乳突肌、舌骨下肌、气管、食管、颈总动脉及其分支、颈内静脉等组织器官进行三维重建。结果:甲状腺三维图像清晰逼真,立体感强,可从任意角度、任意方位观察甲状腺及肿物与周围组织器官的关系,同时可客观精确地计算甲状腺体积。结论:甲状腺三维重建可于腔镜甲状腺切除术前规划手术路径,直观地指导手术操作,有助于完整切除甲状腺肿物、减少并发症,具有较高的临床实用价值。

Application of thyroid three-dimensional reconstruction for endoscopic thyroidectomy

Objective:The aim of this study was to explore clinical application of thyroid three-dimensional reconstruction for endoscopic thyroidectomy.Methods:From 1st Aug.2011 to 31st Dec.2011,48 patients with CT scanning images were selected.Thyroid gland,thyroid tumor,and surrounding tissues and organs,such as thyroid vessels,sternomastoid muscle,infrahyoid muscle,trachea,esophagus,common carotid artery and its branches,internal jugular vein and so on,were reconstructed with the software of Mimics 10.01.Results:Three-dimensional images were clear and realistic with strong three-dimensional sense.The anatomic relationship of thyroid,thyroid tumor,and surrounding tissues and organs could be observed optionally.Meanwhile,the volumes of the thyroids were calculated objectively and accurately.Conclusions:Thyroid three-dimensional reconstruction could be used to plan surgical approaches and guide the surgical procedures visually.It would be helpful to remove thyroid tumor completely and reduce complications.It has higher value of clinical application.