MIMICS系统三维重建指引下经皮穿刺引流术对重症胰腺炎穿刺操作时间、成功率影响  

Effect of Percutaneous Puncture and Drainage Guided by Three-dimensional Reconstruction of The MIMICS System on The Time and Success Rate of Puncture Operations in Severe Pancreatitis

作　　者：孙海滨[1] 付健 王冰心 陈从涛 田磊[1] 赵建辉[1] 张爱民[1] SUN Hai-bin;FUJian;WANG Bing-xin;CHEN Cong-tao;TIANLei;ZHAO Jian-hui;ZHANGAi-min(The Second Hospital of Hebei Medical University,Shijiazhuang 050000,Hebei Province,China;Shijiazhuang Municipal People's Hospital,Shijiazhuang 050011,Hebei Province,China)

机构地区：[1]河北医科大学第二医院,河北石家庄050000 [2]石家庄市市人民医院,河北石家庄050011

出　　处：《中国CT和MRI杂志》2023年第11期103-106,共4页Chinese Journal of CT and MRI

基　　金：2022年河北省卫生健康委重点科技研究计划项目(20221097)。

摘　　要：目的探究交互式医学图像控制系统(MIMICS)三维重建指引下经皮穿刺引流术(PCD)对重症胰腺炎穿刺操作时间、成功率影响。方法选取2020年4月~2022年12月我院80例重症胰腺炎患者,随机分为研究组和对照组,各40例。对照组采用常规超声引导下PCD治疗,研究组采用MIMICS三维重建指引下PCD治疗。比较两组穿刺情况、治疗前后血清炎性因子[C反应蛋白(CRP)、淀粉样蛋白A(SAA)、降钙素原(PCT)]、前列环素I2(PGI2)、血栓素2(TXA2)、并发症发生情况。结果两组穿刺成功率均为100.00%,组间比较差异无统计学意义(P>0.05);研究组穿刺前影像学重复确认次数、穿刺操作时间、平均穿刺次数均少于对照组(P<0.05);两组治疗后1d、3d、7d血清CRP、SAA、PCT水平均低于治疗前,且研究组治疗后1d、3d血清CRP、SAA、PCT水平均低于对照组(P<0.05);两组治疗后1d、3d、7d血清PGI2水平均高于治疗前,TXA2水平均低于治疗前,且研究组治疗后1d、3d血清PGI2水平均高于对照组,TXA2水平均低于对照组(P<0.05);研究组并发症发生率(5.00%)与对照组(15.00%)比较差异无统计学意义(P>0.05)。结论重症胰腺炎MIMICS三维重建指引下PCD成功率高,能明显缩短穿刺操作时间,且能降低术后短期内血清炎性因子,改善PGI2、TXA2水平。Objective To investigate the effect of percutaneous puncture and drainage(PCD)guided by threedimensional reconstruction with the Interactive Medical Image Control System(MIMICS)on the time and success rate of puncture operations in severe pancreatitis.Methods Eighty patients with severe pancreatitis in our hospital from April 2020 to December 2022 were selected and randomly divided into a study group and a control group,40 cases each.The control group was treated with conventional ultrasound-guided PCD,and the study group was treated with MIMICS 3D reconstruction-guided PCD.Compare the puncture status,serum inflammatory factors[C-reactive protein(CRP),amyloid A(SAA),calcitoninogen(PCT)],prostacyclin I2(PGI2),thromboxane 2(TXA2),and complications between the two groups before and after treatment.Results The success rate of puncture in both groups was 100.00%,and the difference between groups was not statistically significant(P>0.05);the number of repeated confirmations of imaging before puncture,the time of puncture operation and the average number of punctures in the study group were all less than those in the control group(P<0.05);Serum CRP,SAA and PCT levels were lower than those before treatment in both groups at 1d,3d and 7d after treatment,and serum CRP,SAA and PCT levels were lower than those in the control group at 1d and 3d after treatment in the study group(P<0.05);serum PGI2 levels were higher than those before treatment at 1d,3d and 7d after treatment in both groups,and TXA2 levels were lower than those before treatment,and serum PGI2 levels were higher than those in the control group at 1d and 3d after treatment in the study group,and TXA2 levels were lower than those in the control group(P<0.05).The serum PGI2 levels were higher than those in the control group and the TXA2 levels were lower than those in the control group(P<0.05);the difference in the incidence of complications between the study group(5.00%)and the control group(15.00%)was not statistically significant(P>0.05).Conclusion The high suc

关 键 词：重症急性胰腺炎 经皮穿刺引流术 超声 交互式医学图像控制系统 

分 类 号：R657.51[医药卫生—外科学]