中国实用外科杂志

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数字智能化诊疗技术在围肝门胆道疾病术前评估中的意义

方驰华陈青山   

  1. 南方医科大学珠江医院肝胆一科,广东广州 510282
  • 出版日期:2019-02-01 发布日期:2019-01-31

  • Online:2019-02-01 Published:2019-01-31

摘要:

目前三维可视化、3D打印、增强或虚拟现实技术、吲哚菁绿(ICG)分子影像学技术等数字智能化诊疗技术正广泛应用于肝胆胰疾病的临床诊治,呈蓬勃发展之势。围肝门胆道疾病是外科领域中重大疑难疾病,其解剖结构复杂、生理病理特殊,诊疗效率较低。高效的术前评估是提高其诊疗效率的关键环节。数字智能化诊疗技术可获取疾病全面的、个体化的影像诊断信息,全方位分析肝动脉、门静脉、胆管与病灶的解剖关系,测量肝脏体积,进而制定合理的手术方案,确定最佳手术入路,预判术中副损伤风险,提高围肝门胆道疾病的外科治疗效果。

关键词: 围肝门区域, 胆道疾病, 数字智能化, 术前评估

Abstract:

Significance of digital intelligent medical technology in preoperative evaluation of perihepatic hilar biliary tract diseases        FANG Chi-hua, CHEN Qing-shan. Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
Corresponding author: FANG Chi-hua, E-mail:fangch_dr@126.com
Abstract    The digital intelligent medical technology such as three dimensional visualization, three dimensional printing, enhanced/virtual reality technology, indocyanine green molecular imaging are widely used in the clinical diagnosis and treatment of hepatobiliary and pancreatic diseases and showed a booming trend. Perihepatic hilar biliary tract diseases with complex anatomical structure, special physiological pathology character and lower efficiency of diagnosis and treatment are the major and difficult disease in the field of surgery. Efficient preoperative evaluation is the key to improve the efficiency of diagnosis and treatment. The digital intelligent medical technology can be used to obtain the comprehensive, individualized image diagnostic information, and comprehensive analysis the anatomy relations of the hepatic artery, portal vein, bile duct and lesions, and quantitatively measure the liver volume, formulate the reasonable operation scheme, determine the best approach of surgery, predict intraoperative injury risk and improve the surgical treatment effect.

Key words: perihilar area, biliary tract disease, digital intelligent technology, preoperative evaluation