3D可视化技术联合术中门静脉穿刺染色在解剖性肝切除中的应用

发布时间：2018-05-05 08:40

本文选题：3D可视化技术 + 美蓝染色　；参考：《南昌大学》2017年硕士论文

【摘要】：目的:探讨3D可视化技术联合术中超声引导下门静脉穿刺染色进行解剖性肝切除术的应用价值。方法:回顾性分析2015年10月~2016年12月收住南昌大学第二附属医院肝胆外科的肝脏良、恶性疾病行肝切除术的患者32例的临床资料,其中15例患者采用3D可视化技术联合术中超声引导门静脉穿刺染色技术进行手术,17例患者采用单纯术中超声引导门静脉穿刺染色技术进行手术。比较两组患者穿刺成功率及两组中穿刺成功患者的术中出血量、手术时间、术中输血量等。结果:3D组较非3D组穿刺成功率高(P0.05);3D组穿刺成功患者手术时间259.23±59.08min,术中红悬输血量为1.46±1.51U。非3D组穿刺成功患者手术时间285.63±36.30min,术中红悬输血量为1.63±1.50U,两组穿刺成功患者手术时间、术中红悬输血量均无明显统计学差异(P0.05);3D组穿刺成功患者术中出血量273.08±109.19ml,非3D组穿刺成功患者术中出血量381.25±84.25ml,两者差异有统计学意义(P0.05)。结论:运用3D可视化技术制定手术方案并模拟术中超声切面,可降低术中穿刺染色的技术难度,减少术中出血,保证解剖性肝切除顺利的完成。
[Abstract]:Objective: to evaluate the application value of 3D visualization technique combined with intraoperative ultrasound guided portal vein puncture staining for anatomical hepatectomy. Methods: the clinical data of 32 patients receiving hepatobiliary surgery in the second affiliated Hospital of Nanchang University from October 2015 to December 2016 were retrospectively analyzed. Among them, 15 cases were operated by 3D visualization technique combined with intraoperative ultrasound guided portal vein puncture staining. 17 cases were operated by intraoperative ultrasound guided portal vein puncture staining technique. The successful rate of puncture and the amount of intraoperative blood loss, operation time and blood transfusion were compared between the two groups. Results the successful rate of puncture in the 3 D group was higher than that in the non 3D group. The operative time was 259.23 卤59.08 min and the volume of red blood transfusion was 1.46 卤1.51U. The operative time was 285.63 卤36.30 min in non-3D group and 1.63 卤1.50 U in red blood transfusion. The operative time of successful puncture was 285.63 卤36.30 min in both groups. There was no significant difference in the amount of blood transfusion between the two groups. The volume of blood loss was 273.08 卤109.19 ml in the 3D group and 381.25 卤84.25 ml in the non-3D group. The difference between the two groups was statistically significant (P 0.05). Conclusion: the technique of 3D visualization can reduce the technical difficulty of puncture staining, reduce the bleeding, and ensure the successful completion of anatomic hepatectomy.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.7;R657.3

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