数字化三维重建技术在胆胰结合部病变诊治中的应用  

Three-dimensional reconstruction of digital technology in the diagnosis and treatment of pancreaticobiliary junction lesions

作　　者：方驰华[1] 苏仲和[1] 

机构地区：[1]南方医科大学珠江大学医院肝胆一科,广东广州 510282

出　　处：《中国实用外科杂志》2010年第5期342-345,共4页Chinese Journal of Practical Surgery

基　　金：国家高技术研究发展(863)计划资助项目(2006AA02Z346);广东省自然科学基金团队资助项目(6200171);国家自然科学基金资助项目(30470493);广东省科技计划资助项目(2003C34303);广州市科技(支撑)计划项目(2008Z1-E611)

摘　　要：胆胰结合部疾病诊断和治疗技术较多,不同方法具不同优势和不足。在实际临床应用中,采用腹部医学图像三维可视化系统(MI-3DVS)对病人多层螺旋CT(MSCT)数据进行三维重建,与ERCP等有创检查相比,可更全面直观的显示该区域病变的部位、范围、血供、侵犯情况,并可显著降低发生相关并发症的风险,减少病人住院费用。对于胆胰结合部肿瘤,该技术还有助于可切除性的评估,指导部分根据CT和MRI表现评估为"不可切除"的肿瘤得到根治切除。合理应用MI-3DVS三维重建技术可减少外科医师诊治时的盲目决策对病人的创伤,具有较高的临床实用价值。Diagnosis and treahment technologies of panereatirolbiliary union diseases are numerous and varied. Each of the technologyies has different advantages arid disadvantages. In practical clinical application, 64-slice helical （CT64-MSCT） data was reeonslrueied with the Medical Image Three-dimentsional isualizai,ion System of Abdomen （MI-3DVS）. Compared with the invasive examinations such as ERCP and so on, 3D reconstruction couhl provide full visual images which clearly showed tire site, size, blood supply and invasion of the lesions, with lower risk of related complicating diseases and lower hospitalization costs. MI-3DVS also plays an important role in assessment of reseetability of panereaticobiliary, junction tumor.Several patients considered unrethle with CT and MRI were operated successfully with M1-3DVS guidance. So MI-3DVS 3D reconstruction could perform a high value of eliuical practive by reducing traumas that resulting haphazand deisiokng in sugery diagnosis and traducut.

关 键 词：壶腹部 数字化三维重建技术 胆结石 

分 类 号：R814.42[医药卫生—影像医学与核医学]