Minimal invasion is an important trend in surgery.However,the endoscope,as one of the key devices for monitoring the process of minimally invasive surgery,is limited by its size and working space it operates in,which ...Minimal invasion is an important trend in surgery.However,the endoscope,as one of the key devices for monitoring the process of minimally invasive surgery,is limited by its size and working space it operates in,which result in a considerably narrow field of view.In particular,when a surgical instrument enters through the tool channel,the instrument occupies most of the area in an endoscopic image.This hampers the surgeon’s field of view and has a negative impact on the surgery.This study proposes a novel method for removing the occlusion caused by surgical instruments in endoscopic images by making foreground occlusions on endoscopic images transparent using image restoration and interframe information filling.Compared with unprocessed images,this method can provide a clearer field of view that is necessary for minimally invasive endoscopic surgeries and improve the quality of surgeries.Clinical endoscopic images are used to verify the feasibility of the proposed method,and the results show that the proposed method improves the visual effect of endoscopic images by removing surgical-instrument occlusions.This demonstrates the considerable potential of the proposed method for use in clinical applications.展开更多
目的:观察高血压脑出血患者应用神经内镜微创手术治疗的疗效及并发症情况。方法:回顾性收集2021年2月至2023年2月期间本院内收治的82例高血压脑出血患者的临床资料。根据患者手术方法不同将其分为开颅手术组(40例)与微创手术组(42例)。...目的:观察高血压脑出血患者应用神经内镜微创手术治疗的疗效及并发症情况。方法:回顾性收集2021年2月至2023年2月期间本院内收治的82例高血压脑出血患者的临床资料。根据患者手术方法不同将其分为开颅手术组(40例)与微创手术组(42例)。分析对比两组的血肿清除率、术后并发症、围术期相关指标、神经功能以及日常生活能力。结果:微创手术组的血肿清除率明显高于开颅手术组(P<0.05)。微创手术组的术后并发症发生率明显低于开颅手术组(P<0.05)。微创手术组的出血量明显少于开颅手术组,手术时间及切口长度、重症监护室观察时间与整体治疗时间均明显短于开颅手术组(P<0.05)。术后1m,微创手术组的美国国立卫生研究院卒中量表(National institute of health stroke scale,NIHSS)评分与日常生活活动能力表(Barthel index,BI)评分均显著优于开颅手术组(P<0.05)。结论:神经内镜微创术治疗高血压脑出血,能提高血肿清除率,减少术后并发症,改善围术期相关指标,提升神经功能以及日常生活能力。展开更多
基金supported by the National Key Research and Development Program of China(2022YFB4703000)the National Natural Science Foundation of China-Shenzhen Robotics Research Center Project(U2013209).
文摘Minimal invasion is an important trend in surgery.However,the endoscope,as one of the key devices for monitoring the process of minimally invasive surgery,is limited by its size and working space it operates in,which result in a considerably narrow field of view.In particular,when a surgical instrument enters through the tool channel,the instrument occupies most of the area in an endoscopic image.This hampers the surgeon’s field of view and has a negative impact on the surgery.This study proposes a novel method for removing the occlusion caused by surgical instruments in endoscopic images by making foreground occlusions on endoscopic images transparent using image restoration and interframe information filling.Compared with unprocessed images,this method can provide a clearer field of view that is necessary for minimally invasive endoscopic surgeries and improve the quality of surgeries.Clinical endoscopic images are used to verify the feasibility of the proposed method,and the results show that the proposed method improves the visual effect of endoscopic images by removing surgical-instrument occlusions.This demonstrates the considerable potential of the proposed method for use in clinical applications.
文摘目的:观察高血压脑出血患者应用神经内镜微创手术治疗的疗效及并发症情况。方法:回顾性收集2021年2月至2023年2月期间本院内收治的82例高血压脑出血患者的临床资料。根据患者手术方法不同将其分为开颅手术组(40例)与微创手术组(42例)。分析对比两组的血肿清除率、术后并发症、围术期相关指标、神经功能以及日常生活能力。结果:微创手术组的血肿清除率明显高于开颅手术组(P<0.05)。微创手术组的术后并发症发生率明显低于开颅手术组(P<0.05)。微创手术组的出血量明显少于开颅手术组,手术时间及切口长度、重症监护室观察时间与整体治疗时间均明显短于开颅手术组(P<0.05)。术后1m,微创手术组的美国国立卫生研究院卒中量表(National institute of health stroke scale,NIHSS)评分与日常生活活动能力表(Barthel index,BI)评分均显著优于开颅手术组(P<0.05)。结论:神经内镜微创术治疗高血压脑出血,能提高血肿清除率,减少术后并发症,改善围术期相关指标,提升神经功能以及日常生活能力。
