3D技术与传统2D技术用于儿童腹部实体肿瘤的诊治效果比较  

Digital medical 3D technology versus traditional 2D technology in the diagnosis and treatment of solid abdominal tumors in children

作　　者：吴昌耀[1] 李强辉[1] 周维模[1] 龙雪峰[1] 许林[1] 全军利 农振良 梁仕兰[1] Wu Changyao;Li Qianghui;Zhou Weimo;Long Xuefeng;Xu Lin;Quan Junli;Nong Zhenliang;Liang Shilan(Department of Gastroenterology and Pediatric Surgery,Guigang People's Hospital,Guigang 537100,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]贵港市人民医院胃肠小儿外科,贵港537100

出　　处：《中国基层医药》2024年第3期338-341,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广西壮族自治区贵港市科学研究与技术开发计划(贵科转1908014)。

摘　　要：目的比较数字医学3D技术与传统2D技术用于儿童腹部实体肿瘤的诊治效果。方法选取2018年1月至2022年1月贵港市人民医院小儿外科收治的腹部实体肿瘤患儿80例,纳入观察组,均使用数字医学3D技术指导手术治疗;选取2014年1月至2017年12月贵港市人民医院小儿外科收治的腹部实体肿瘤患儿80例,均使用传统2D技术指导手术治疗,纳入对照组,比较两组患儿的临床治疗效果。结果观察组患儿的手术时间[(111.8±28.9)min]、术中出血量[(26.8±25.2)mL]、手术后排气时间[(2.2±1.2)d]、术后住院时间[(7.5±1.4)d]均明显短于、少于对照组[(193.1±66.0)min、(86.2±47.0)mL、(3.7±0.9)d、(12.2±3.5)d],差异均有统计学意义(t=7.00、6.88、5.87、7.53,均P<0.05);观察组手术完整切除率明显高于对照组[92.5%(74/80)比81.3%(65/80),χ^(2)=4.44,P<0.05];观察组并发症发生率明显低于对照组[6.3%(5/80)比16.3%(13/80),χ^(2)=4.00,P<0.05]。结论数字医学3D技术用于儿童腹部实体肿瘤手术中可明显缩短手术时间,减少术中出血量,促进术后恢复,手术切除率高,术后并发症低等。Objective To investigate the value of digital medical 3D technology versus traditional 2D technology in the diagnosis and treatment of solid abdominal tumors in children.Methods A total of 80 children with solid abdominal tumors who received surgical treatment guided by digital medical 3D technology at Guigang People's Hospital from January 2018 to January 2022 were included in the observation group.An additional 80 children with solid abdominal tumors who received surgical treatment guided by traditional 2D technology at the same hospital from January 2014 to December 2017 were included in the control group.Clinical efficacy was compared between the two groups.Results The surgical time,intraoperative blood loss,postoperative exhaust time,postoperative hospital stay in the observation group were(111.8±28.9)minutes,(26.8±25.2)mL,(2.2±1.2)days,(7.5±1.4)days,respectively,which were significantly shorter or less than those in the control group[(193.1±66.0)minutes,(86.2±47.0)mL,(3.7±0.9)days,(12.2±3.5)days,t=7.00,6.88,5.87,7.53,all P<0.05].The complete surgical resection rate in the observation group was significantly higher than that in the control group[92.5%(74/80)vs.81.3%(65/80),χ^(2)=4.44,P<0.05].The incidence of complications in the observation group was significantly lower than that in the control group[6.3%(5/80)vs.16.3%(13/80),χ^(2)=4.00,P<0.05].Conclusion The utilization of digital medical 3D technology in the surgical treatment of solid abdominal tumors in children can markedly decrease surgical time,reduce intraoperative blood loss,promote postoperative recovery,achieve a high surgical resection rate,and minimize postoperative complications.

关 键 词：外科手术 计算机辅助 腹部肿瘤 失血 手术 住院时间 手术后并发症 疗效比较研究 

分 类 号：R730[医药卫生—肿瘤]