胃癌患者胰腺CT影像解剖特点及其预测根治术后胰瘘的研究进展  

Research progress on pancreatic CT anatomic features and prediction of postoperative pancreatic fistula in patients with gastric cancer

作　　者：王雅权 闫宇 董胜利[1] Wang Yaquan;Yan yu;Dong Shengli(Department of General Surgery,the Second Affiliated Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第二医院普通外科,太原030001

出　　处：《中华解剖与临床杂志》2022年第12期877-880,共4页Chinese Journal of Anatomy and Clinics

摘　　要：目的总结胃癌患者胰腺CT影像解剖特点及其预测根治术后胰瘘风险的研究进展。方法在PubMed、中国知网、万方数据等数据库以“胃肿瘤”“胰瘘”“解剖学”“计算机断层扫描”和“stomach neoplasm”“pancreatic fistula”“anatomy”“computed tomography”为中英文关键词,检索2000年1月-2022年7月发表的与胃癌根治术后胰瘘相关的胰腺CT影像学的研究,共纳入文献620篇,排除重复文献、内容不符、无法获取全文及低质量文献,最终纳入24篇文献,进行总结分析。结果通过胃癌患者术前CT检查,可了解胰瘘相关的胰腺的影像学解剖特点,如胰腺头部的形状、脂肪浸润程度,以及胰腺与胃左动脉、肝总动脉、腹主动脉及腹腔干的解剖位置关系。术前通过上述影像学解剖特点和参数可对胃癌患者的胰腺状态进行全面详细的评估,对患者术后发生胰瘘的风险有良好的预测作用。结论对胃癌患者术前CT检查获得的胰腺头部的形状,脂肪浸润程度,以及胰腺与胃左动脉、肝总动脉、腹主动脉和腹腔干的解剖关系进行充分的评估,有助于预测胃癌根治术后发生胰瘘的风险。Objective To summarize the research progress on the anatomical features of pancreatic CT imaging in pancreatic fistula after gastric cancer surgery and determine the role of pancreatic CT imaging in predicting the risk of pancreatic fistula after surgery.Methods PubMed,CNKI,Wanfang Data,and other databases were searched using"胃肿瘤""胰瘘""解剖学""计算机断层扫描""stomach neoplasm""pancreatic fistula""anatomy"and"computed tomography"as Chinese and English key words.All pancreatic CT imaging studies related to pancreatic fistula after gastric cancer surgery dating from January 2000 to July 2022 were included in the search.A total of 620 papers were included,and duplicate papers and inconsistent contents were excluded.Full-text and low-quality studies could not be obtained,so 24 studies were included for summary analysis.Results Through preoperative CT examination of patients with gastric cancer,the imaging and anatomical characteristics of the pancreas,such as the shape of the pancreatic head and the degree of fatty infiltration,as well as the anatomical relationship between the pancreas and the left gastric artery,common hepatic artery,abdominal aorta,and celiac trunk were understood.The above-mentioned anatomical features and parameters were used to evaluate the pancreatic status of patients with gastric cancer in a comprehensive and detailed manner before surgery and showed a good predictive effect on the risk of pancreatic fistula after surgery.Conclusion Full evaluation of the shape of the pancreatic head and the degree of fatty infiltration,as well as the anatomical relationship between the pancreas and the left gastric artery,common hepatic artery,abdominal aorta,and celiac trunk obtained by preoperative CT examination in patients with gastric cancer can help predicting the risk of pancreatic fistula in patients with gastric cancer after surgery.

关 键 词：胃肿瘤 胃切除术 手术后并发症 胰瘘 体层摄影术 X线计算机 风险预测 影像解剖学 

分 类 号：R735.2[医药卫生—肿瘤]