中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (05): 342-345.

• 专题笔谈 • 上一篇    下一篇

数字化三维重建技术在胆胰结合部病变诊治中的应用

方驰华，苏仲和   

  1. 南方医科大学珠江医院肝胆一科, 广东广州510282
  • 出版日期:2010-05-01 发布日期:2010-05-06

  • Online:2010-05-01 Published:2010-05-06

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摘要：

胆胰结合部疾病诊断和治疗技术较多，不同方法具不同优势和不足。在实际临床应用中，采用腹部医学图像三维可视化系统（MI?3DVS）对病人多层螺旋CT（MSCT）数据进行三维重建，与ERCP等有创检查相比，可更全面直观的显示该区域病变的部位、范围、血供、侵犯情况，并可显著降低发生相关并发症的风险，减少病人住院费用。对于胆胰结合部肿瘤，该技术还有助于可切除性的评估，指导部分根据CT和MRI表现评估为“不可切除”的肿瘤得到根治切除。合理应用MI?3DVS三维重建技术可减少外科医师诊治时的盲目决策对病人的创伤，具有较高的临床实用价值。

关键词: 壶腹部, 数字化三维重建技术, 胆结石

Abstract:

Three-dimensional reconstruction of digital technology in the diagnosis and treatment of pancreaticobiliary junction lesions    FANG Chi-hua, SU Zhong-he. Department of  Hepatobiliary Surgery I, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, China
Corresponding author：FANG Chi-hua, E-mail:fangch_dr@126.com
Abstract    Diagnosis and treatment technologies of pancreaticobiliary ductal union diseases are numerous and varied. Each of the technologies has different advantages and disadvantages. In practical clinical application, 64-slice helical CT(64-MSCT) data was reconstructed with the Medical Image Three-dimensional Visualization System of Abdomen (MI-3DVS). Compared with the invasive examinations such as ERCP and so on, 3D reconstruction could provide full visual images which clearly showed the site, size, blood supply and invasion of the lesions, with lower risk of related complicating diseases and lower hospitalization costs. MI-3DVS also plays an important role in assessment of resectability of pancreaticobiliary junction tumor. Several patients considered unresectble with CT and MRI were operated successfully with MI-3DVS guidance. So MI-3DVS 3D reconstruction could perform a high value of clinical practice by reducing traumas that resulting from haphazard decision-making in sugery diagnosis and treatment.

Key words: ampulla, three-dimensional reconstruction of digital technology, gallstones