中国医学创新2025，Vol.22Issue(10)：1-5,5.DOI:10.3969/j.issn.1674-4985.2025.10.001
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
摘要
Abstract
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 effectively reduce the incidence of postoperative complications,decrease intraoperative blood loss,shorten the operation time and hospital stay,and promote postoperative recovery.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Key words
CT three-dimensional reconstruction technique/Intraoperative B-ultrasound navigation/Anatomical hepatectomy surgery/Hepatocellular carcinoma引用本文复制引用
张昱君,曾志峰,蒋星星..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[J].中国医学创新,2025,22(10):1-5,5.基金项目
新余市科技计划项目(20233090807) （20233090807）
