中国实用外科杂志2015，Vol.35Issue(9)：974-978,5.DOI:10.7504/CJPS.ISSN1005-2208.2015.09.17
肝胆管结石三维可视化诊治平台构建及临床价值研究
Establishment and value of three-dimensional visualization diagnosis platform in the treatment of hepatolithiasis
摘要
Abstract
Objective To study the establishment and value of three-dimensional visualization diagnosis platform in the treatment of hepatolithiasis. Methods The clinical data of 112 consecutive patients with hepatolithiasis between January 2008 and April 2015 in the First Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University were analyzed. (1) In order to acquire submillimeter CT data, each patient underwent the spiral CT epigastric enhancement scanning. Medical image three-dimensional visualization system (MI-3DVS) was used to establish three-dimensional visualization image model. (2) The three-dimensional visualization analysis covered the vascular classification, the classification of clinical diagnosis, liver segments, virtual hepatectomy and liver volume calculation with three-dimensional visualization technology. (3) Preoperative evaluation and surgical planning were performed to select a reasonable plan. (4) The 3D printing of liver might be performed when necessary, which help to perform the precise surgery. (5) Therapeutic effect was evaluated. Results All the patients had a real reconstruction of three-dimensional visualization image model based on CT images. The position and distribution of calculus, location and degree of biliary stricture, vascular anatomic relationships were shown in the three-dimensional visualization image model clearly. The category of hepatic artery, hepatic vein and portal vein were made. The three-dimensional visualization diagnostic classification of hepatolithiasis and liver segments was also performed. The relationships between lesions and vasculature were shown in the 3D printing model of liver. The three-dimensional visualization preoperative evaluation and 3D printing model were in tune with actual operation. The stone residue rate, incidence rate of complications and calculus recurrence rate was less than 3.0%, 5.6% and 2.4% respectively. Conclusion The establishment of three-dimensional visualization diagnosis platform for hepatolithiasis could help to improve the clearance of calculus and decrease postoperative complications. It could provide safe, precise, minimally invasive and efficient therapeutic measures for hepatolithiasis and has a good clinical prospect.关键词
肝胆管结石/3D打印/三维可视化Key words
hepatolithiasis/3D printing/three-dimensional visualization分类
医药卫生引用本文复制引用
方驰华,方兆山,蔡伟,祝文,陶海粟,杨剑,范应方,刘军..肝胆管结石三维可视化诊治平台构建及临床价值研究[J].中国实用外科杂志,2015,35(9):974-978,5.基金项目
国家高技术研究发展(863)计划(No.2012AA0 21105) （863）
国家自然科学基金(No.U1401254) （No.U1401254）
广东省重大科技专项(No.2012A080203013) （No.2012A080203013）
