Page 74 - 《中国医疗器械杂志》2026年第1期

Chinese Journal of Medical Instrumentation 2026年 第50卷 第1期

临 床 医 学 工 程

文章编号：1671-7104(2026)01-0070-06

数字化手术视频云端管理平台的研发及应用

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【作 者】 顾政 ，褚永华 ，徐灿灿 ，徐野 ，刘震杰 3
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1 浙江大学医学院附属第二医院 临床医学工程部，杭州市，310014
2 西门子数字医疗科技（上海）有限公司，上海市，200126
3 浙江大学医学院附属第二医院 血管外科，杭州市，310014
【摘 要】 针对传统手术室在多源数据整合、大数据量视频处理等方面的瓶颈，该文提出并研发了一套数字化手术视
频云端管理平台，通过云端架构与智能技术融合，构建覆盖科研、教学、质控等全流程的数字化手术数据
生态。该平台具备本院所有手术相关系统接口，并通过统一部署手术室客户端实现音视频信号归一化，支
持单病例8路高清视频并行处理；采用数字手术视频资料分级存储策略，突破传统本地存储容量限制。平台
创新性集成跨平台协同功能，支持科研数据挖掘。项目系统内置时间轴同步、动态布局切换、字幕批注等
视频编辑工具，显著降低医生操作门槛。临床应用显示，平台上线后手术视频线上存储率达85.3%，
72.8%的存储视频经过在线编辑，医生可快速制作教学视频，术后视频复盘可动态关联术野画面与监护数
据，优化操作流程并强化手术质控体系。本次平台开发为智慧医院建设提供可复用的技术范本，平台成为
推动医疗资源均质化与数字化转型的关键基础设施。
【关 键 词】 数字化手术室；视频在线编辑；云存储
【中图分类号】 R197.39; TH77
【文献标志码】 A doi: 10.12455/j.issn.1671-7104.250326
Development and Application of Digital Surgery Video
Cloud-Based Management Platform
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【 Authors 】 GU Zheng , CHU Yonghua , XU Cancan , XU Ye , LIU Zhenjie 3
1 Clinical Engineering Department, The Second Affiliated Hospital Zhejiang University School of
Medicine, Hangzhou, 310014
2 Siemens Digital Medical Technology (Shanghai) Co., Ltd., Shanghai, 200126
3 Clinical Vascular Surgery, The Second Affiliated Hospital Zhejiang University School of Medicine,
Hangzhou, 310014
【 Abstract 】 In response to bottlenecks such as multi-source data integration and large-volume video data processing
in traditional operating rooms, this paper proposes and develops a cloud-based digital surgical video
management platform. By integrating cloud architecture with intelligent technologies, it has established a
comprehensive digital surgical data ecosystem covering scientific research, education, and quality control
throughout the entire workflow. The platform features interfaces with all hospital surgical systems and
achieves normalized audio-visual signal processing through unified client deployment in operating rooms,
supporting parallel processing of 8-channel high-definition videos per case. Implementing a tiered storage
strategy for surgical video data, it overcomes limitations of traditional local storage capacity. Innovatively
incorporating cross-platform collaboration capabilities, the system enables scientific data mining. Built-in
video editing tools including timeline synchronization, dynamic layout switching, and subtitle annotation
significantly reduce operational complexity for medical staff. Clinical applications demonstrate that the
platform achieves 85.3% online video storage rate post-implementation, with 72.8% of stored videos
undergoing online editing. Surgeons can efficiently create educational videos, while postoperative video

收稿日期：2025-05-17
基金项目：国家自然科学基金资助项目（81970398，82470489）；浙江省杰出青年基金资助项目（LR22H020002）；浙江省科技厅重点研
发计划项目（2022C03111）
作者简介：顾政，E-mail: gordongu0808@zju.edu.cn
通信作者：刘震杰，E-mail: lawson4001@zju.edu.cn

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