本文選題：3D可視化技術(shù) + 美藍染色　； 參考：《南昌大學》2017年碩士論文

【摘要】：目的:探討3D可視化技術(shù)聯(lián)合術(shù)中超聲引導(dǎo)下門靜脈穿刺染色進行解剖性肝切除術(shù)的應(yīng)用價值。方法:回顧性分析2015年10月~2016年12月收住南昌大學第二附屬醫(yī)院肝膽外科的肝臟良、惡性疾病行肝切除術(shù)的患者32例的臨床資料,其中15例患者采用3D可視化技術(shù)聯(lián)合術(shù)中超聲引導(dǎo)門靜脈穿刺染色技術(shù)進行手術(shù),17例患者采用單純術(shù)中超聲引導(dǎo)門靜脈穿刺染色技術(shù)進行手術(shù)。比較兩組患者穿刺成功率及兩組中穿刺成功患者的術(shù)中出血量、手術(shù)時間、術(shù)中輸血量等。結(jié)果:3D組較非3D組穿刺成功率高(P0.05);3D組穿刺成功患者手術(shù)時間259.23±59.08min,術(shù)中紅懸輸血量為1.46±1.51U。非3D組穿刺成功患者手術(shù)時間285.63±36.30min,術(shù)中紅懸輸血量為1.63±1.50U,兩組穿刺成功患者手術(shù)時間、術(shù)中紅懸輸血量均無明顯統(tǒng)計學差異(P0.05);3D組穿刺成功患者術(shù)中出血量273.08±109.19ml,非3D組穿刺成功患者術(shù)中出血量381.25±84.25ml,兩者差異有統(tǒng)計學意義(P0.05)。結(jié)論:運用3D可視化技術(shù)制定手術(shù)方案并模擬術(shù)中超聲切面,可降低術(shù)中穿刺染色的技術(shù)難度,減少術(shù)中出血,保證解剖性肝切除順利的完成。
[Abstract]:Objective: to evaluate the application value of 3D visualization technique combined with intraoperative ultrasound guided portal vein puncture staining for anatomical hepatectomy. Methods: the clinical data of 32 patients receiving hepatobiliary surgery in the second affiliated Hospital of Nanchang University from October 2015 to December 2016 were retrospectively analyzed. Among them, 15 cases were operated by 3D visualization technique combined with intraoperative ultrasound guided portal vein puncture staining. 17 cases were operated by intraoperative ultrasound guided portal vein puncture staining technique. The successful rate of puncture and the amount of intraoperative blood loss, operation time and blood transfusion were compared between the two groups. Results the successful rate of puncture in the 3 D group was higher than that in the non 3D group. The operative time was 259.23 鹵59.08 min and the volume of red blood transfusion was 1.46 鹵1.51U. The operative time was 285.63 鹵36.30 min in non-3D group and 1.63 鹵1.50 U in red blood transfusion. The operative time of successful puncture was 285.63 鹵36.30 min in both groups. There was no significant difference in the amount of blood transfusion between the two groups. The volume of blood loss was 273.08 鹵109.19 ml in the 3D group and 381.25 鹵84.25 ml in the non-3D group. The difference between the two groups was statistically significant (P 0.05). Conclusion: the technique of 3D visualization can reduce the technical difficulty of puncture staining, reduce the bleeding, and ensure the successful completion of anatomic hepatectomy.
【學位授予單位】：南昌大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R735.7;R657.3

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