| 王丹璞,赫嵘,贾哲,王米雪,何楠,张萌,张瑶.腹腔镜超声联合CT三维重建引导腹腔镜肝切除术[J].中国医学影像技术,2024,40(2):172~176 |
| 腹腔镜超声联合CT三维重建引导腹腔镜肝切除术 |
| Laparoscopic ultrasound combined with CT three-dimensional reconstruction for guiding laparoscopic hepatectomy |
| 投稿时间：2023-09-20 修订日期：2024-01-17 |
| DOI：10.13929/j.issn.1003-3289.2024.02.003 |
| 中文关键词: 癌,肝细胞 腹腔镜 肝切除术 超声检查,介入性 体层摄影术,X线计算机 成像,三维 |
| 英文关键词:carcinoma, hepatocellular laparoscopes hepatectomy ultrasonography, interventional tomography, X-ray computed imaging, three-dimensional |
| 基金项目:北京市属医院科研培育计划项目（PX2020069）。 |
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| 中文摘要: |
| 目的 观察腹腔镜超声（LUS）联合CT三维重建引导腹腔镜肝切除术（LH）的价值。方法 回顾性分析78例接受LH的肝细胞癌（HCC）患者，根据是否接受术前CT三维重建及LUS分为观察组（n=46）或对照组（n=32）；比较组间临床资料、围手术期资料及预后。结果 组间临床资料差异均无统计学意义（P均>0.05），而肿瘤主体所在肝段、切除方式、肿瘤切缘、手术时间、术中出血量、术后住院时间、术后并发症分级及发生率差异均有统计学意义（P均<0.05）。随访期间观察组死亡15例，对照组死亡14例；组间无瘤生存率差异有统计学意义（χ2=4.210，P=0.040）。结论 LUS联合CT三维重建用于引导LH可降低术中损伤和并发症发生率、提高HCC 患者无瘤生存率。 |
| 英文摘要: |
| Objective To observe the value of laparoscopic ultrasound (LUS) combined with CT three-dimensional reconstruction for guiding laparoscopic hepatectomy (LH). Methods Data of 78 hepatocellular carcinoma (HCC) patients who underwent LH were retrospectively analyzed. The patients were divided into observation group (n=46) or control group (n=32) based on whether underwent preoperative CT three-dimensional reconstruction and LUS. Clinical data, perioperative data and prognosis were compared between groups. Results No significant difference of clinical data was found (all P>0.05), whereas significant differences of tumor body mainly location, resection method, tumor resection margin, surgical operation time, intraoperative blood loss, postoperative hospital stay, postoperative complication grading and incidence were found between groups (all P<0.05). During follow-up period, 15 patients died in observation group and 14 died in control group. Significant difference of disease-free survival rate was detected between groups (χ2=4.210, P=0.040). Conclusion LUS combined with CT three-dimensional reconstruction for guiding LH could reduce intraoperative injury and complication incidence,improving disease-free survival rate of HCC patients. |
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