CAJ | 학술논문

目的评价三维模拟技术在精准肝脏切除中的应用价值.方法自2009年7月至2010年5月,本院对16例手术治疗的原发性肝癌患者,于术前进行了三维模拟成像及模拟手术操作,并对二者切除的肝脏组织在三维径线上的绝对长度进行统计学分析.结果模拟手术切除的肝脏组织形状及大小与实际手术切除的非常相似,两者肝脏切除边缘长度明显相关,而且没有统计学差异(P＞0.05).模拟手术与实际手术两者切除肝脏在长度、宽度和高度上的差值分别为0.6118 cm、0.4490 cm和0.3199 cm.结论三维模拟技术可以准确预测目标病灶的切除范围,为精准肝脏切除提供术前指导.
목적 평개삼유모의기술재정준간장절제중적응용개치.방법 자2009년7월지2010년5월,본원대16례수술치료적원발성간암환자,우술전진행료삼유모의성상급모의수술조작,병대이자절제적간장조직재삼유경선상적절대장도진행통계학분석.결과 모의수술절제적간장조직형상급대소여실제수술절제적비상상사,량자간장절제변연장도명현상관,이차몰유통계학차이(P＞0.05).모의수술여실제수술량자절제간장재장도、관도화고도상적차치분별위0.6118 cm、0.4490 cm화0.3199 cm.결론 삼유모의기술가이준학예측목표병조적절제범위,위정준간장절제제공술전지도.
Objective To study the application of three-dimensional simulated surgical technique in precise hepatectomy. Methods From July 2009 to February 2010, 16 patients with primary liver cancer underwent preoperative simulated imaging and three-dimensional simulation of liver resection.The 3D extent of simulated hepatectomy and actual hepatectomy was compared and analyzed. Results The shape and the extent of the liver resected were very similar in the simulated and the actual hepatectomies. The mean differences in the length, breadth and depth of the remnant livers were 0. 6118 cm,0. 4490 cm and 0. 3199 cm, respectively. Conclusions Simulation hepatectomy could predict the extent of the actual liver resection, and provided accurate guidance and preoperative planning for precise hepatectomy.