海信计算机辅助手术系统在儿童腹膜后肿瘤切除中的作用及意义  

Application of Hisense computer-assisted surgical system for resecting retroperitoneal tumors

作　　者：刘玉圣[1] 段于河[1] 弭杰 周显军[1] 鹿洪亭[1] 姜忠[1] 魏宾[1] 董蒨[1] Liu Yusheng;Duan Yuhe;Mi Jie;Zhou Xianjun;Lu Hongting;Jiang Zhong;Wei Bin;Dong Qian(Department of Pediatric Surgery,The Affiliated Hospital of Qingdao University,Shandong Key Laboratory of Digital Medicine&Computer Assisted Surgery,The Affiliated Hospital of Qingdao University,Qingdao 266003,China)

机构地区：[1]青岛大学附属医院小儿外科,山东省数字医学与计算机辅助手术重点实验室,266003

出　　处：《中华小儿外科杂志》2020年第2期128-132,共5页Chinese Journal of Pediatric Surgery

基　　金：十二五国家科技支撑计划课题(2013BAI01B03)。

摘　　要：目的探讨海信计算机辅助手术系统(Hisense CAS)在儿童腹膜后肿瘤切除中的作用及意义。方法回顾性分析2012年3月至2018年9月青岛大学附属医院小儿外科收治的48例腹膜后肿瘤患儿的临床资料,其中38例患儿作为重建组应用Hisense CAS将其二维CT图像重建成三维可视化图像,进行术前评估并制定手术方案、实施手术,另外10例仅行腹部增强CT的患儿作为对照组,比较两组患儿在手术时间、术中出血量、住院时间等方面的差异。结果48例患儿均顺利完成手术,术中及术后无死亡。重建组患儿在手术时间、术中出血量、住院时间等方面较对照组明显减少,三维重建结果能清晰、立体的显示肿瘤的解剖学位置及与周围器官、血管的毗邻关系,与术中情况基本相符。结论Hisense CAS能够在术前对腹膜后肿瘤患儿的情况进行精确评估,优化手术方案,对指导手术有一定的应用价值。Objective To explore the application value of Hisense computer-assisted surgical system for resecting retroperitoneal tumors.Methods A retrospective analysis was performed for 48 children with retroperitoneal tumors between March 2012 and September 2018.The data of 64-slice spiral computer tomography(CT)scans were analyzed.And 38 CT scans were constructed three-dimensionally(3D).Another 10 patients receiving abdominal enhanced CT were treated as control group.The inter-group differences in operative duration;intraoperative blood loss,length of hospitalization and other aspects were compared.Results All operations were successfully operated without perioperative mortality.Reconstruction group had significantly shorter operative duration,less intraoperative blood loss and length of hospitalization than those in control group.Tumor anatomical locations and adjacent relationship with surrounding organs and blood vessels were basically consistent with intraoperative findings.Conclusions Hisense computer-assisted surgical system provides accurate preoperative evaluations of retroperitoneal tumors so that it has application value for guiding surgery.

关 键 词：外科手术 计算机辅助 腹膜后肿瘤 儿童 

分 类 号：R735[医药卫生—肿瘤] TP3[医药卫生—临床医学]