陆航飞行员开箱国产最先进武装直升机
第32卷第8期
2020年8月V ol.32 No.8
Aug. 2020
—479—肝 胆 胰 外 科 杂 志Journal of Hepatopancreatobiliary Surgery ·论著 临床研究·网络孔子学院
综合征中的应用
喻海波，黄海锋，张二勇
（嵊州市人民医院/浙江大学第一附属医院嵊州分院/绍兴文理学院附属嵊州分院 肝胆外科，浙江 绍兴 312400）2020-04-02弧菌
喻海波（1985-），男，浙江嵊州人，主治医师，硕士。
清原百事通［收稿日期］［第一作者简介］［摘 要］ 目的 应用三维可视化技术，探讨三维成像对Mirizzi 综合征外科诊治的指导意义。方法 选取嵊州市人民医院2015年9月1日至2019年10月31日7例Mirizzi 综合征患
海德堡cp2000者的原始腹部增强Ct 扫描数据，导入Mimics 软件，对胆管、胆囊、结石、门静脉、肝静脉、肝固有动脉、左右肝动脉、肝脏及胰腺等组织器官进行三维重建，并进行术前规划。结果 7例Mirizzi 综合征患者均完成三维重建和术前规划，并顺利进行手术。重建的三维图像清晰逼真，立体感强，可从任意角度、任意方位观察周围各组织器官的解剖关系。结论 三维可视化技术可在术前了解胆道情况，评估胆管缺损，模拟胆管成形，避免损伤血管，规划手术路径，指导手术操作，在Mirizzi 综合征的外科诊治中具有较高的临床实用价值。 [关键词] 三维可视化；Mirizzi 综合征；胆囊胆管瘘；胆囊结石
[中图分类号] R657.4+2 [文献标识码] A doi:10.11952/j.issn.1007-1954.2020.08.007
Application of three-dimensional visualization in surgical diagnosis and treatment for Mirizzi syndrome YU Hai-bo, HUANG Hai-feng, ZHANG Er-yong. Department of Hepatobiliary Surgery, Shengzhou People’s Hospital/the First Affiliated Hospital of Zhejiang University Shengzhou Branch/Shaoxing University Shengzhou Branch, Shaoxing, Zhejiang 312400, China
objective To investigate the guiding significance of three-dimensional visualization in surgical
diagnosis and treatment for Mirizzi syndrome. Methods The original abdominal enhanced CT scan d
ata of 7 patients with Mirizzi syndrome were collected in Shengzhou People’s Hospital from Sep.1, 2015 to Oct.31, 2019. Mimics software was employed to reconstruct the three-dimensional tissues and organs such as bile duct, gallbladder, stone, portal vein, hepatic vein, proper hepatic artery, left and right hepatic arteries, liver, and pancreas, and to carry out preoperative planning. Results All 7 patients with Mirizzi syndrome completed the three-dimensional reconstruction and preoperative planning, whose surgical treatments were also successfully performed. The reconstructed three-dimensional images were clear and realistic, with strong three-dimensional sense, and the anatomical relationship of surrounding tissues and organs could be observed from any angle and any position. Conclusion Three-dimensional visualization can be used to understand the situation of biliary tract, evaluate the defect of bile duct, simulate the formation of bile duct, avoid vascular injury, plan surgical path, and guide the surgical procedure, which has high practical and clinical value in surgical diagnosis and treatment of Mirizzi syndrome.
three-dimensional visualization; Mirizzi syndrome; cholecystocholedochal fistula; gallbladder
stone
开放科学标识码(OSID)
Mirizzi 综合征（Mirizzi syndrome ，MS ）是胆囊
结石的特殊类型，是指胆囊结石持续嵌顿或压迫胆
社会科学论坛囊壶腹部和颈部，使肝总管狭窄或胆囊胆管瘘，引起反复发作的胆囊炎、胆管炎和梗阻性黄疸。MS 作为一种诊断和兼具挑战性的胆道疾病[1]，对外科医师的术前规划能力和术中处理能力均有较高的
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