CT三维重建在肝门部胆管癌的诊疗中的应用价值

发布时间：2018-08-24 11:34

【摘要】：目的:探讨术前CT三维重建在肝门部胆管癌的诊断和可切除性评估中的应用价值。方法:回顾性分析安徽医科大学附属省立医院自2015年1月—2016年12月收治的15例肝门部胆管癌患者资料,所有患者术前常规行CT三维重建,分析肿瘤的位置与毗邻关系以及Bismuth分型,从而进行手术的可切除性评估。结果:15例患者均完成手术探查,其中Bismuth分型Ⅱ型1例,Ⅲ型5例(Ⅲa型2例,Ⅲb型3例),Ⅳ型9例,其中根治性手术11例,姑息性切除术4例。CT三维重建在术前诊断肝门部胆管癌分型、肿块与门静脉及肝动脉比邻关系、肿块体积的准确率分别为93.3%、86.7%、53.3%、93.3%;术前模拟手术与实际手术方式符合率为80%。结论:术前CT三维重建可以准确、直观、动态的显示肝门部胆管癌及三维毗邻关系,对于判断肝门部胆管癌的可切除性具有较高的准确性,值得临床推广。
[Abstract]:Objective:To evaluate the value of preoperative CT three-dimensional reconstruction in the diagnosis and resectability assessment of hilar cholangiocarcinoma.Methods:The data of 15 patients with hilar cholangiocarcinoma admitted to Anhui Medical University Affiliated Provincial Hospital from January 2015 to December 2016 were retrospectively analyzed. Result: All the 15 patients completed surgical exploration, including 1 case of Bismuth type II, 5 cases of type III (2 cases of type III a, 3 cases of type III b), 9 cases of type IV, including 11 cases of radical operation and 4 cases of palliative resection. The accuracy of the volume of the tumor was 93.3%, 86.7%, 53.3% and 93.3% respectively, and the coincidence rate between the simulated operation and the actual operation was 80%. It has high accuracy and is worthy of clinical promotion.
【作者单位】：安徽医科大学附属省立医院普外科胆胰外科/肝胆胰安徽省重点实验室;安徽医科大学附属省立医院影像科;
【基金】：国家自然科学基金资助项目(81272397) 安徽省自然科学基金资助项目(1208085MH176)
【分类号】：R735.8

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