无创血管成像技术对腹部复杂手术方案设计的应用价值研究  

Noninvasive angiography in design of complicated abdominal operation scheme

作　　者：段降龙[1] 马庆久[2] 龙延滨[1] 徐勇[2] 李国威[3] 

机构地区：[1]陕西省人民医院普通外科,陕西西安710068 [2]西安高新医院普通外科,陕西西安710075 [3]西安交通大学医学院第二附属医院普通外科,陕西西安710004

出　　处：《中国普通外科杂志》2010年第12期1316-1320,共5页China Journal of General Surgery

摘　　要：目的探讨应用多层螺旋CT血管成像技术设计占位性病变侵犯腹腔主要血管的腹腔内复杂手术方案。方法对31例复杂性腹腔内占位性病变患者均于术前行多层螺旋CT血管成像技术检查,依据多层螺旋CT血管成像技术检查结果设计制定符合患者具体病情的个体化手术方案。结果多层螺旋CT血管成像技术准确显示腹腔各种严重病变与腹腔主要血管的复杂关系,31例患者依据多层螺旋CT血管成像技术设计个体化手术方案,6例患者术中预置腹主动脉阻断带,使用超声乳化吸引刀,确保了不损伤血管。通过实施个体化手术方案,全组各种病变均完整切除,同时无腹腔重要血管的损伤,术后患者均痊愈出院。结论多层螺旋CT血管成像技术是一种安全、简便、可靠、准确、高分辨率的无创性血管成像方法,对病变侵犯腹腔主要血管的腹腔复杂手术的个体化手术方案设计具有重要的临床价值及指导作用。Objective To explore the value of multi-slice spiral computed-tomography angiography in the design of complicated abdoninal operation scheme for space-occupying lesions that involve major intraabdominal vessels. Methods Thirty-one patients underwent multi-slice spiral computed-tomography angiography before operation. Then,individualized operation scheme was made according to the result of multi-slice spiral computed-tomography angiography. Results Multi-slice spiral computed-tomography angiography accurately revealed the complicated relationship between a variety of severe intraabdoninal lesions and major intraabdoninal vessels. Individualized operation scheme for the 31 patients was made according to the result of multi-slice spiral computed-tomography angiography. Based on individualized operation schemes,all of the 31 patients successfully underwent operation without injury of major intraabdominal vessels,and were satisfactorily discharged.Conclusions Multi-slice spiral computed-tomography angiography is safe,convenient,authentic,accurate,high resolution,fast and non-invasive. It is very useful in planning rational individualized operation scheme for complicated intraabdominal operations that involve major intraabdominal vessels,and can help to direct and improve the effect of surgical treatment.

关 键 词：多层螺旋CT 血管成像 腹腔血管 手术方案 

分 类 号：R656[医药卫生—外科学]