临床小儿外科杂志2025，Vol.24Issue(1)：53-57,5.DOI:10.3760/cma.j.cn101785-202105003-010
计算机辅助手术系统在评估儿童肝血管瘤转归中的应用
Role of computer assisted surgery system in evaluating clinical outcomes of hepatic hemangioma in chil-dren
摘要
Abstract
Objective To explore the clinical value of Hisense CAS in evaluating the efficacy of prop-ranolol for hepatic hemangioma in children.Methods A retrospective analysis was conducted for the relevant clinical data of 21 children treated with oral propranolol Affiliated Hospital of Qingdao University from January 2010 to December 2020.Hisense CAS was utilized for reconstructing the data of computed tomography(CT)and examining the three-dimensional relationship between tumor and blood vessels,liver and tumor volume.Results There were 12 males and 9 females.Focal type in 16 cases,multitype in 4 cases,diffuse type in 1 case;There were 9 cases of right lobe of liver,9 cases of left lobe of liver,and 3 cases of bilateral lobe in-volved.Tumor size significantly shrank after a treatment of propranolol.Three-dimensional reconstruction results indicated that tumor volume was 56.8(26.0168.4)cm3 pre-treatment and it declined to 10.9(8.3,22.2)cm3 post-treatment.The percentage of tumor to total liver volume pre-treatment was 23.1％(10.7％,53.6％).It dropped to 3.7％(2.7％,8.1％)post-treatment and the differences were statistically significant(P＜0.05).After a treatment of propranolol,percentage of tumor volume reduction was 70.0％(47.6％,89.0％)and per-centage of liver volume expansion was 8.3％(2.5％,14.4％).Conclusions Hisense CAS three-dimensional reconstruction offers advantages in evaluating volume of hepatic hemangiomas in children.Reconstructed liver volume and percentage of tumor to liver volume provide a new perspective for evaluating tumor outcomes.关键词
肝血管瘤/普萘洛尔/外科手术/儿童Key words
Hepatic Hemangioma/Propranolol/Surgical Procedures,Operative/Child引用本文复制引用
修文丽,赵彩红,刘洁,王雪峰,王菲菲,张警丽,朱荣坤,郝希伟,董蒨..计算机辅助手术系统在评估儿童肝血管瘤转归中的应用[J].临床小儿外科杂志,2025,24(1):53-57,5.基金项目
国家自然科学基金(82293665) （82293665）
青岛市关键技术攻关及产业化示范类项目(24-1-4-xxgg-16-nsh) National Natural Science Foundation of China(82293665) （24-1-4-xxgg-16-nsh）
Key Technology Research &Industrialization Demonstration Project of Qingdao Municipality(24-1-4-xxgg-16-nsh) （24-1-4-xxgg-16-nsh）
