CT三维重建技术联合术中B超导航在肝细胞癌腹腔镜解剖性肝切除手术中的应用研究  

Study on the Application of CT Three-dimensional Reconstruction Technique Combined with Intraoperative B-ultrasound Navigation in Laparoscopic Anatomical Hepatectomy Surgery for Hepatocellular Carcinoma

作　　者：张昱君 曾志峰[1] 蒋星星[1] ZHANG Yujun;ZENG Zhifeng;JIANG Xingxing(Department of Hepatobiliary and Pancreatic Surgery,Xinyu Hospital Affiliated to Nanchang University,Xinyu 338025,China)

机构地区：[1]南昌大学附属新余医院肝胆胰外科,江西新余338025

出　　处：《中国医学创新》2025年第10期1-5,共5页Medical Innovation of China

基　　金：新余市科技计划项目(20233090807)。

摘　　要：目的:评估术前CT三维重建技术联合术中B超导航在肝细胞癌腹腔镜解剖性肝切除手术中的有效性和安全性。方法:将南昌大学附属新余医院肝胆胰外科2019年7月—2024年3月收治的98例肝细胞癌患者作为研究对象,根据不同治疗方法将患者分为观察组(n=52)及对照组(n=46)。观察组行术前CT三维重建技术联合术中B超导航腹腔镜解剖性肝除手术,对照组行传统腹腔镜解剖性肝切除手术。比较两组手术时间、术中出血量、住院时间、住院费用及术后并发症发生情况,以及肝功能及凝血功能。结果:相较对照组,观察组手术时间及住院时间均短,术中出血量少,术后并发症发生率低(P<0.05)。两组住院费用比较,差异无统计学意义(P>0.05)。观察组术后1、3 d的白蛋白均高于对照组(P<0.05)。观察组术后1、3 d的天冬氨酸转氨酶及术后1、3、7 d的丙氨酸转氨酶均低于对照组(P<0.05)。两组术后1 d活化部分凝血活酶时间、凝血酶原时间及术后1、3、7 d总胆红素比较,差异均无统计学意义(P>0.05)。结论:在CT三维重建技术联合术中B超导航下行腹腔镜解剖性肝切除手术治疗肝细胞癌可以有效降低术后并发症发生率,减少术中出血量,缩短手术时间及住院时间,促进术后恢复。Objective:To evaluate the efficacy and safety of CT three-dimensional reconstruction technique combined with intraoperative B-ultrasound navigation in laparoscopic anatomical hepatectomy surgery for hepatocellular carcinoma.Method:A total of 98 patients with hepatocellular carcinoma admitted to the Department of Hepatobiliary and Pancreatic Surgery,Xinyu Hospital Affiliated to Nanchang University from July 2019 to March 2024 were taken as the study objects.According to different treatment methods,the patients were divided into observation group(n=52)and control group(n=46).The observation group underwent preoperative CT three-dimensional reconstruction technique combined with intraoperative B-ultrasound navigation laparoscopic anatomical hepatectomy surgery,and the control group underwent traditional laparoscopic anatomical hepatectomy surgery.Operation time,intraoperative blood loss,hospital stay,hospitalization cost,postoperative complications,liver function and coagulation function were compared between the two groups.Result:Compared with the control group,the operation time and hospital stay in the observation group were shorter,the intraoperative blood loss was less,and the incidence of postoperative complications was lower(P<0.05).There was no significant difference in hospitalization cost between the two groups(P>0.05).The albumin levels in the observation group were lower than those in the control group at 1 and 3 d after surgery(P<0.05).The aspartate aminotransferase and alanine aminotransferase levels at 1,3 and 7 d after surgery in the observation group were lower than those in the control group(P<0.05).There were no significant differences in activated partial thromboplastin time and prothrombin time 1 day after surgery and total bilirubin 1,3,7 d after surgery between the two groups(P>0.05).Conclusion:Laparoscopic anatomical hepatectomy surgery for hepatocellular carcinoma under the combination of CT three-dimensional reconstruction technique combined with intraoperative B-ultrasound navigation can e

关 键 词：CT三维重建技术 术中B超导航 解剖性肝切除手术 肝细胞癌 

分 类 号：R735.7[医药卫生—肿瘤]