汪淼 刘元波

[摘要]医学摄影对于整形外科学科发展具有重要意义。虽然整形外科摄影标准已经提出多年，但目前标准化摄影记录的手术案例仍较少，且医学参考性较差。能按照摄影标准的要求熟练记录医学影像资料是整形外科医生的基本职业素养。一致性是衡量整形外科摄影质量的最重要因素，也是标准化的重要前提。做好拍摄前准备、重视标准化构图、妥善管理与使用摄影资料等都有助于保持一致性与实现标准化摄影。同时，随着3D成像技术、视频技术和云技术等在整形外科摄影的应用，整形外科的标准化摄影也面临着很多新的机遇与挑战。

[关键词]整形外科;摄影;一致性;标准化;构图

[中图分类号]R622    [文献标志码]A     [文章编号]1008-6455（2020）03-0170-04

Abstract： Medical photography is of indispensable importance to the development of plastic surgery. Although the standards for photography in plastic surgery has been established for years， there are still few surgical cases recorded by standardized photography， and the medical reference quality is poor. Proficiency in recording medical imaging data in accordance with the requirements of photographic standards is a necessary professional accomplishment for plastic surgeons. Consistency is the most important factor to evaluate the quality of plastic surgery photography， and is also an important prerequisite for standardization. Well post-shooting preparations， emphases on standardized composition， proper management and application of photographic data are conducive to maintaining the consistency and achieving standardized photography. Meanwhile， with the application prospects of three-dimensional imaging technology， video technology， and cloud technology in plastic surgery photography， the standardization of which also will face various of opportunities and challenges.

Key words： plastic surgery; photography; consistency; standardization; composition

摄影技术能及时、准确、形象地反映客观存在，且获得的影像资料具有高度可信性，被称为“形象语言”和“视觉文学”[1]。醫学摄影对于临床医生来说至关重要，标准化及高质量的影像资料有助于制定手术方案、记录手术过程和对比手术前后效果，还便于医患之间进行沟通。此外，医学摄影也为科研教学及学术交流提供了不可或缺的佐证材料[2]。由于整形外科手术多涉及体表容貌和体型的调整，手术难以单纯使用文字进行描述，在缺乏图像资料的情况下，很难对手术效果进行评估，通过影像资料就可以客观记录外形外貌等变化[3]。同时，医学影像资料还是医疗纠纷重要的仲裁证据，因此，整形外科的标准化摄影具有重大的医学法律意义[4]。……