虚拟现实技术与混合现实技术在复杂先心病外科术中的应用初步探讨

A preliminary discussion on the application experience of virtual reality technology and mixed reality technology in complex congenital heart disease surgery

目的总结虚拟现实技术与混合现实技术手段在复杂性先天性心脏病术前、术中评估中的应用效果。方法回顾性分析我院开展的虚拟现实技术与混合现实技术手段评估的11例复杂先天性心脏病患儿的临床资料、手术决策、术中经过以及早期预后,分析比较现有技术手段的优、缺点,总结出一套简便易行、经济实用的影像学评估手段,为更加合理有效的影像学评估手段提供理论支撑。结果11例患儿术前均行虚拟现实技术与混合现实技术评估,依据评估结果制订个性化的手术策略,手术实施过程顺利。手术时间34~121min,体外循环26~101min,主动脉阻断18~56min。1例延迟关胸。无手术死亡。结论虚拟现实技术与混合现实技术手段在复杂性先天性心脏病术前、术中评估中具有明显优势,可以优化手术策略,缩短手术时间,减少手术创伤,值得临床进一步的推广和应用。

Objective To analyze the application of virtual reality technology and mixed reality techniques in our hospital before and during intraoperative evaluation of complicated congenital heart diseases. Methods Methods Retrospectively analyze the clinical treatment, surgical decision-making, intraoperative and early prognosis of 11 children with complicated congenital heart disease assessed by virtual reality technology and mixed reality techniques. The time of operation was 34-121 min, CPB time was 26-101 min, the clamping time of aorta was 18-56 min. There was no operative death. Results All 11cases were assessed by virtual reality technology and mixed reality technology before surgery. Personalized surgical strategies were made based on the evaluation results. All patients had undergone operations successfully. Compared with traditional surgical methods, fewer surgical incisions and shorter operation time were required. And it improved the surgical results. Conclusion Virtual reality technology and mixed reality technology have a great advantage in preoperative and intraoperative evaluation of complex congenital heart diseases.They can optimize surgical strategies, shorten operation time, and reduce surgical trauma. They are worthy of further promotion and application in clinical practice.