3D打印联合彩超引导辅助DSA在腹主动脉瘤腔内介入手术中的临床应用  

Clinical application of 3D printing combined with color ultrasound guided DSA in endovascular interventional surgery for abdominal aortic aneurysm

作　　者：李良学 陈铭 俞瀚林 刘融 肖远杨 LI Liangxue;CHEN Ming;YU Hanlin;LIU Rong;XIAO Yuanyang(Vascular Surgery,Wuhan Puren Hospital,Wuhan 430080,Hubei,China)

机构地区：[1]武汉市普仁医院血管外科,湖北武汉430080

出　　处：《中南医学科学杂志》2024年第1期79-82,共4页Medical Science Journal of Central South China

基　　金：湖北省卫生计生委重点项目(WJ2017F032);武汉市医学科研项目(WX21D52)。

摘　　要：目的探讨3D打印联合彩超引导辅助数字减影血管造影(DSA)在腹主动脉瘤患者腔内介入手术中的应用效果。方法行腔内介入手术64例腹主动脉瘤患者,随机分为观察组和对照组各32例,对照组行DSA下腹主动脉瘤腔内修复术治疗,观察组行3D打印联合彩超引导辅助DSA下腹主动脉瘤腔内修复术治疗。比较两组患者的围术期相关指标、造影剂用量、肾功能指标、血清蛋白水平、并发症发生率。结果观察组手术时间、术后禁食时间、住院时间短于对照组(P<0.05)。观察组造影剂使用量少于对照组(P<0.05)。治疗后,两组患者的血肌酐、尿素氮、血清白蛋白、球蛋白、总蛋白水平上升,且观察组低于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论3D打印联合彩超引导辅助DSA在腹主动脉瘤患者腔内介入手术中的应用效果较好,可缩短手术时间、术后禁食时间和住院时间,减少造影剂用量,减轻对肾功能的影响,对机体营养水平影响更小,降低并发症发生率。Aim To explore the application of 3D printing combined with color ultrasound guided digital subtraction angiography(DSA)in endovascular interventional surgery for thoracic abdominal aortic aneurysm.Methods 64 patients with thoracoabdominal aortic aneurysm undergoing endovascular intervention surgery were randomly divided into the observation group and the control group,with 32 cases in each group.The control group received DSA intracavity repair of lower abdominal aortic aneurysm,and the observation group received 3D printing combined with color ultrasound guided DSA intracavity repair.The perioperative parameters,contrast agent dosage,renal function index,serum protein level and complication rate of the two groups were compared.Results The operation time,postoperative fasting time and hospital stay of the observation group were significantly shorter than those of the control group(P<0.05).The use of contrast agent in the observation group was significantly lower than that in the control group(P<0.05).After treatment,serum creatinine and urea nitrogen,the levels of serum albumin,globulin and total protein were increased in both groups,and these indicators in the observation group were lower than those in the control group(P<0.05).The complication rate in the observation group was lower than that in the control group(P<0.05).Conclusion The application of 3D printing combined with color ultrasound guidance and DSA in endovascular interventional surgery for patients with thoracoabdominal aortic aneurysm has a good effect,which can shorten the operation time,postoperative fasting time and hospital stay,reduce the amount of contrast agent,lower the impact on renal function,have less impact on the body s nutritional level,and decrease the incidence of complications.

关 键 词：3D打印技术 彩超 数字减影血管造影 腹主动脉瘤 腔内介入手术 肾功能 造影剂用量 

分 类 号：R732.2[医药卫生—肿瘤]