Abstract: Objective To explore the feasibility and clinical value of three-dimensional reconstruction combined with coordinate positioning method in the clinical practice of neurosurgery.Methods A total of 40 patients with neurosurgery in our hospital from March 1st to August 30th,2022,who underwent 3D reconstruction combined with coordinate positioning method were selected,including 30 cases of intracranial hematoma,6 cases of intracranial space-occupying lesions,and microvascular decompression.2 cases,2 cases of spinal tumor,analyze its value in actual clinical application.Results All patients had complete relevant imaging examinations and preoperative multi-modal image 3D reconstruction before operation.Coordinate localization method was used to locate the lesions before operation.The preoperative localization time was short and the localization was accurate.Conclusion Three-dimensional reconstruction combined with coordinate positioning method can accurately locate intracranial lesions,and combined with three-dimensional reconstruction technology can help to improve the surgical effect and reduce the occurrence of postoperative complications.

Key words: Three-dimensional reconstruction, Coordinate positioning method, 3D Slicer, Neurosurgery, Clinical practice

摘要： 目的 探讨三维重建联合坐标定位法在神经外科临床实践应用中的可行性与临床实用价值。方法 选取我院神经外科2022年3月1日至8月30日应用三维重建联合坐标定位法辅助的手术患者40例,其中颅内血肿30例,颅内占位性病变6例,微血管减压2例,脊柱肿瘤2例,分析其在实际临床应用中的价值。结果 所有患者术前均完善相关影像学检查及术前多模态影像三维重建,术前使用坐标定位法定位病灶,术前定位时间短,定位准确。结论 三维重建联合坐标定位法能精确地定位颅内病变,结合三维重建技术有助于提高手术效果,减少术后并发症的发生。

关键词: 三维重建, 坐标定位法, 3D Slicer, 神经外科手术, 临床实践