我国神经导航手术开展现状的调查和国产excelim-04手术导航系统的临床试验.pdf

塑二型坌茎里塑丝量堕至查茎垦塑鉴塑塑壅 ．—— (2)我国医院神经导航设备占有率低，国产导航设备市场份额极小。医院的经 济状况是阻碍推广应用神经导航手术的主要原因，研制和生产我国自主创新的 神经导航设备具有重大的意义。 关键词：神经导航调查研究 中图分类号：R651 Investigation and Research on the Status of NeuronaVigation in China ZHAO Fan，CHEN Xian-cheng，WU Jin·song Department of Neurosurgery，Huashan Hospital，Fudan University,Shanghai 200040 Abstract objective：Image—Guide System(IGS)is the outcome combining the latest technologies in computer science，image processing and stereo—tactics．Since its inception in the early 1990’S，it has been widely used in the neurosurgery,and neuronavigation provides intraoperative orientation to the surgeon，helps in planning a precise surgical approach to the targetted lesion and defines the surrounding neurovascular structures．Here，the purpose of this paper is tO investigate the development degree of the neuronavigation in China，and do something significant for the development of neuronavigation in our country． Methods：First，we design the investigate table independently；then questionnaires are distributed to more than 80 hospitals with the help of GE Healthcare company；at last，Excel and SPSS 13 was used to analyze the data． ResuIts： (1)The possess percent ofneumnavigation is low(30％)，the chiefmason that most hospitals don’t initiate navigation equipment is economy factor． (2)The domestic—made navigation equipments which have been used in neurosurgery are much fewer than the imports． (3)MRI and CT image ale usually utilized in neuronavigation operation；initiative infrared ray tracking system is the most commonly used for navigation；the patient—-tO--image registration is most achieved by fiducial registration which uses skin 3 第一部分我国神经导航手术开展现状的调查 landmarker；neuronavigation is mainly applied in intracranial lesions，skull—base surgery,pituitary tumor(through sphenoid)and vascular malformation；it is identified that navigation is accurate in operation；brain shift is the most important factor which influence the accuracy of the system and introperative images are less