临床医学工程2026，Vol.33Issue(7)：805-809,5.DOI:10.3969/j.issn.1674-4659.2026.07.0805
基于Mimics的单模态胃肠道三维重建模型在粘连性小肠梗阻患者肠插管减压术中的应用价值研究
Study on the Application Value of Mimics-Based Mono-Modality Three-Di-mensional Gastrointestinal Reconstruction Model in Intestinal Intubation De-compression for Patients with Adhesive Small Bowel Obstruction
摘要
Abstract
Objective To analyze the application effect of Mimics-based mono-modality three-dimensional gastrointestinal reconstruction model in intestinal intubation decompression for patients with adhesive small bowel obstruction.Methods A total of 80 patients with adhesive small bowel obstruction who underwent intestinal intubation decompression in our hospital from February 2023 to January 2024 were enrolled.According to the catheterization protocol,they were divided into two groups,with 40 cases in each group.The control group received conventional fluoroscopy-guided catheterization.For the experimental group,a three-dimensional gastrointestinal reconstruction model was established using Mimics software before surgery to evaluate the catheter access route and plan the operation path,and catheterization was completed under combined fluoroscopy guidance.The average modeling time and the consistency rate between the model and intraoperative images in the experimental group were recorded.The operation time,catheterization depth,X-ray exposure time,contrast agent dosage,catheterization tolerance,first-attempt success rate of catheterization,clinical efficacy and occurrence of complications were compared between the two groups.Results The average modeling time in the experimental group was(20.75±6.44)min;the model was consistent with intraoperative images in 34 cases,with a consistency rate of 85.00％.No statistically significant difference was found in the total effective rate of treatment between the two groups(P＞0.05).Compared with the control group,the experimental group had shorter operation time and X-ray exposure time,less contrast agent dosage,and greater catheterization depth(P＜0.05).The first-attempt success rate of catheterization in the experimental group was higher than that in the control group,and the total incidence of complications was lower than that in the control group(P＜0.05).Statistically significant difference was found in the grade distribution of catheterization tolerance between the two groups(P＜0.05),among which the proportion of grade Ⅰ tolerance in the experimental group was higher than that in the control group(P＜0.05).Conclusions The Mimics-based mono-modality three-dimensional gastrointestinal reconstruction model has higher consistency with intraoperative images in patients with adhesive small bowel obstruction.Its application in intestinal intubation decompression can improve the first-attempt success rate of catheterization,increase the catheterization depth,shorten the operation time,reduce radiation exposure and contrast agent dosage,lower the risk of complications,and improve patients' catheterization tolerance.关键词
Mimics/单模态/胃肠道三维重建/粘连性小肠梗阻/肠插管减压术Key words
Mimics/Mono-modality/Three-dimensional gastrointestinal reconstruction/Adhesive small bowel obstruction/Intesti-nal intubation decompression分类
医药卫生引用本文复制引用
陈雲峰,莫永祥,王荣..基于Mimics的单模态胃肠道三维重建模型在粘连性小肠梗阻患者肠插管减压术中的应用价值研究[J].临床医学工程,2026,33(7):805-809,5.基金项目
杭州市医药卫生科技计划项目(项目编号:B20230424) （项目编号:B20230424）
