三维可视化及3D数据测量在食管胃底静脉曲张中的应用效果  

Application effect of three-dimensional visualization and 3D data measurement in esophageal gastric varices

作　　者：徐国峰[1] 范琳峰[1] 李强[1] 陈侃[1] 黄文峰[1] 谢军[1] XU Guo-feng;FAN Lin-feng;LI Qiang;CHEN Kan;HUANG Wen-feng;XIE Jun(Department of Gastroenterology,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]赣南医学院第一附属医院消化内科,江西赣州341000

出　　处：《中国当代医药》2021年第23期56-59,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20204453)。

摘　　要：目的探讨三维可视化及3D数据测量在食管胃底静脉曲张(EGV)治疗中应用效果。方法选取2018年10月—2019年10月赣南医学院第一附属医院收治的适合内镜下治疗的食管胃底静脉曲张破裂出血患者40例,随机数字表法分为常规诊疗组和3D辅助组,每组各20例。常规诊疗组采用超声内镜联合增强CT辅助治疗;3D辅助组则在对照组基础上加予三维观察和3D测量辅助。于治疗结束1周后评估临床疗效,观察术后并发症情况。于两组治疗后3、6个月和1年时进行随访,统计再出血率及死亡率。结果两组的食管静脉曲张、胃底静脉曲张治疗总有效率比较,差异均无统计学意义(P>0.05)。3D辅助组的发热、胸痛发生率均低于常规诊疗组,差异有统计学意义(P<0.05)。3D辅助组治疗后1年时的再出血发生率低于常规诊疗组,差异有统计学意义(P<0.05)。结论三维可视化及3D数据测量技术来指导内镜下EGV的治疗有助于降低再出血及并发症发生风险。Objective To explore the application effect of three-dimensional visualization and 3D data measurement in the treatment of esophageal gastric varices(EGV).Methods A total of 40 esophageal and gastric variceal bleeding patients suitable for endoscopic treatment who were admitted to the First Affiliated Hospital of Gannan Medical University from October 2018 to October 2019 were selected and divided into routine treatment group and 3D auxiliary group according to random number table method,with 20 cases in each group.The routine treatment group was given ultrasonic endoscopy combined with enhanced CT auxiliary treatment,while 3D auxiliary group was given three-dimensional observation and 3D measurement on basis of control group.The clinical curative effect was evaluated at 1 week after the end of treatment.The postoperative complications were observed.The two groups were followed up at 3,6 months and 1 year after treatment.The re-bleeding rate and mortality were statistically analyzed.Results There were no statistically significant differences between the two groups in the total effective rate of esophageal varices and esophageal varices(P>0.05).The incidence of fever and chest pain in 3D auxiliary group was lower than that in routine treatment group,and the differences were statistically significant(P<0.05).The incidence of re-bleeding at 1 year after treatment in 3D auxiliary group was lower than that in routine treatment group,and the difference was statistically significant(P<0.05).Conclusion The application of three-dimensional visualization and 3D data measurement in the guidance of endoscopic EGV treatment is beneficial to reduce the occurrence risk of re-bleeding and complications.

关 键 词：食管胃底静脉曲张 三维可视化 3D数据测量 疗效 再出血 

分 类 号：R575.2[医药卫生—消化系统]