3D重建垂体瘤数字化模型在医患沟通中的应用价值

doi:10.3969/j.issn.1674-490X.2021.04.008

医学研究与教育 ›› 2021, Vol. 38 ›› Issue (4): 56-60.DOI: 10.3969/j.issn.1674-490X.2021.04.008

3D重建垂体瘤数字化模型在医患沟通中的应用价值

史彦芳¹,费宏安²,白泽通¹,郑克彬¹

1.河北大学附属医院神经外科, 河北保定 071000;
2.河北大学临床医学院, 河北保定 071000

收稿日期:2021-05-26 出版日期:2021-08-25 发布日期:2021-08-25
通讯作者: 郑克彬(1982—),男,河北保定人,主任医师,博士,主要从事神经功能疾病的研究和诊治。E-mail: 194611086@qq.com
作者简介:史彦芳(1965—),男,河北保定人,教授,硕士生导师,主要从事垂体腺瘤分子生物学研究及手术治疗。 E-mail: fhafsyy@163.com
基金资助:
河北省重点研发项目(18277790D);2019年度河北大学研究生创新资助项目(hbu2019ss038)

Received:2021-05-26 Online:2021-08-25 Published:2021-08-25

摘要/Abstract

摘要： 目的通过3D重建技术,重建垂体瘤数字化模型,并探究数字化模型在医患沟通中的应用价值。方法选取 5名垂体瘤患者的CT、MRI数据,以DICOM格式导入MIMICS21.0软件中,得到3D垂体瘤数字化模型;招募32名垂体瘤患者家属(每名患者对应一名家属),采用数字随机表法,分为对照组(n=16)与实验组(n=16),实验组应用3D模型,对2组家属得分数据做出统计分析。结果经MIMICS 21.0软件重建出了高保真的数字化模型,统计分析显示,使用模型后,患者家属对垂体瘤解剖结构(t=4.233, P<0.001)、临床表现(t=5.121, P<0.001)、并发症(t=5.504, P<0.001)、治疗方案(t=4.659, P<0.001)的理解显著提高。结论通过3D重建软件将二维图像重建为具有空间结构的数字化模型,生动、直观,可以更好地辅助医生进行患者病情告知,同时,患方亦更容易理解自身病情,医患沟通的效果得到了显著提升,患者对医生的治疗方案认可度、配合度更高。

关键词: 3D重建技术, 数字化模型, 垂体瘤, 医患沟通

Abstract: Objective To explore the application value of digital models in doctor-patient communication by applying 3D reconstruction technology to reconstruct the digital model of pituitary tumors. Methods CT and MRI data of 5 patients with pituitary adenoma were imported into mimics 21.0 software in DICOM format to obtain 3D digital model of pituitary adenoma. 32 family members of pituitary tumor patients(one family member for each patient)were recruited and randomly divided into control group(n=16)and experimental group(n=16). The experimental group used 3D model to make statistical analysis on the score data of family members of the two groups. Results The high-fidelity digital model was reconstructed by MIMICS 21.0 software. Statistical analysis showed that after using the model, the patient's family members had a significant understanding of the four aspects of pituitary tumor anatomy(t=4.233, P<0.001), clinical manifestations(t=5.121,P<0.001), complications(t=5.504,P<0.001)and treatment options(t=4.659,P<0.001). Conclusion The 2D image is reconstructed into a digital model with a spatial structure through 3D reconstruction software, which is vivid and intuitive, and can better assist the doctor in the patient's condition notification. At the same time, it is easier for the patient to understand his condition. The effect of doctor-patient communication has been significantly improved, and patients have a higher degree of recognition and cooperation with doctors’ treatment plans.

Key words: 3D reconstruction technology, digital model, pituitary tumor, doctor-patient communication

中图分类号:

史彦芳,费宏安,白泽通,郑克彬. 3D重建垂体瘤数字化模型在医患沟通中的应用价值[J]. 医学研究与教育, 2021, 38(4): 56-60.

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3D重建垂体瘤数字化模型在医患沟通中的应用价值

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