混合现实技术应用于骶骨肿瘤切除重建术中的价值

Effect of Mixed Reality Technology on Sensory Function in Patients with Sacral Tumor Resection and Reconstruction

目的探讨混合现实技术应用于骶骨肿瘤切除重建术中的价值。方法选取骶骨肿瘤患者90例,根据随机数字表法分成单一组(n=45)和联合组(n=45),单一组选取影像学资料的肿瘤边界实施骶骨肿瘤切除重建术,联合组在单一组的基础上使用混合现实技术实施骶骨肿瘤切除重建术。对比2组围术期变化、疼痛变化、排便相关指标、排便控制及感觉功能变化。结果联合组排便掌控能力优良率[88.89%(40/45)]高于单一组[66.67%(30/45)](P<0.05);联合组排便感觉功能优良率[93.33%(42/45)]高于单一组[73.33%(33/45)](P<0.05)。与单一组相比,联合组手术时间、住院天数更短,且切口更小,术中失血量更少(P<0.05)。与单一组相比,联合组尿管移除时长、自主排便时长更短,且残留尿量更少(P<0.05)。手术3 d后,联合组疼痛指数低于单一组(P<0.05)。结论混合现实技术在骶骨肿瘤切除重建中可以加强排便控制和排便感觉,改善围术期情况和排便相关指标,减轻疼痛。

Objective To investigate the effect of mixed reality technology on sensory function in patients with sacral tumor resection and reconstruction.Methods 90 patients with sacral tumors were selected and divided into single group(n=45)and combined group(n=45).The tumor boundary of imaging data was selected in the single group for sacral tumor resection and reconstruction,and the combined group used hybrid reality technology for sacral tumor resection and reconstruction on the basis of the single group.The perioperative changes,pain changes,defecation related indexes,defecation control and sensory function changes were compared between the 2 groups.Results The excellent and good rate of defecation control ability in the combined group was 88.89%(40/45),which was higher than 66.67%(30/45)in the single group(P<0.05);The excellent and good rate of defecation sensory function in the combined group was 93.33%(42/45),which was higher than 73.33%(33/45)in the single group(P<0.05);Compared with the single group,the combined group had longer operation time,shorter hospital stay,smaller incision size and less intraoperative blood loss(P<0.05);Compared with the single group,the combined group had longer urinary catheter removal time,longer spontaneous defecation time,and less residual urine(P<0.05);Three days after operation,the pain index in the combined group was lower than that in the single group(P<0.05).Conclusion Mixed reality technology can strengthen defecation control and defecation feeling,improve perioperative changes and defecation related indexes,and reduce pain in sacral tumor resection and reconstruction.