计算机3D导航技术在脊柱肿瘤外科治疗中的应用

Application of computer-assisted 3D navigation in surgical treatment of spine tumors:an update

脊柱肿瘤外科治疗在过去几十年经历了诸多科技变革,包括手术方式、内植入物、生物制剂及计算机辅助下导航技术应用等,特别是实时影像引导和3D影像重建为脊柱肿瘤精准定位和切除提供了理论与技术支撑。术中计算机辅助导航技术已被广泛应用于脊柱疾病的外科治疗中,如椎弓根螺钉置入、骨盆骨折固定等,并取得较好的疗效。导航技术平台的应用也极大提高了脊柱肿瘤微创治疗和精准切除效果,同时降低了术中辐射暴露损伤。本文综述了计算机辅助导航技术在脊柱肿瘤手术切除中的有效性、安全性及发展前景。

Over the past few decades,surgical treatment for spinal tumors has experienced many technological innovations,including surgical methods,implantations,biological agents,computer-assisted navigation equipment and so on.The real-time intraoperative imaging guidance and 3D imaging reconstruction provide theoretical and technical support for accurate location and resection of spinal tumors.The intraoperative navigation has been widely introduced into the surgical treatment of orthopaedic diseases,such as pedicle screw placement,pelvic fracture xation,etc.,and achieved satisfactory effectiveness.The application of navigation technology platform has greatly improved the minimally invasive treatment and precise resection of spinal tumors,and reduced the radiation exposure injury during operation.In this review,we sum up the effectiveness,safety and development prospects of navigation technology for spinal tumor treatment.