河北医科大学学报 ›› 2021, Vol. 42 ›› Issue (6): 686-689.doi: 10.3969/j.issn.1007-3205.2021.06.014

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盆腔解剖三维数字化重建在妇科良性肿瘤内镜手术中的应用

  

  1. 1.广东省东莞市茶山医院妇产科,广东 东莞 523000;2.广东省东莞市茶山医院放射科, 广东 东莞 523000
  • 出版日期:2021-06-25 发布日期:2021-07-05
  • 作者简介:董云(1972-),女,河南漯河人,广东省东莞市茶山医院副主任医师,医学学士,从事妇产科疾病诊治研究。
  • 基金资助:
    广东省医学科研课题(2018507150091423)

Application of three-dimensional digital reconstruction of pelvic anatomy in the endoscopic surgery of gynecological benign tumors

  1. 1.Department of Obstetrics and Gynecology, Chashan Hospital of Dongguan City, Guangdong Province, 
    Dongguan 523000, China; 2.Department of Radiology, Chashan Hospital of Dongguan City, 
    Guangdong Province, Dongguan 523000, China
  • Online:2021-06-25 Published:2021-07-05

摘要: 目的  探究盆腔解剖三维数字化重建在妇科良性肿瘤内镜手术中的临床应用。
方法  选取在本院妇产科行内镜手术治疗的良性肿瘤患者80例为观察组,同时采用回顾分析方法选取于我院就诊的妇科良性肿瘤患者80例为对照组。
观察组患者在盆腔解剖三维数字化重建的基础上进行内镜手术操作,对照组患者进行常规内镜手术操作。比较2组患者病情的诊断率、术后治愈率、手术时间、并发症的发生率、患者住院时间、出血量、住院费用及患者的依从性。
结果  观察组患者诊断率、治愈率均高于对照组(P<0.05),观察组患者手术时间、住院时间、手术过程出血量及出现并发症的概率等均低于对照组,且观察组患者依从性好(P<0.05)。
结论  盆腔的三维数字化模型,用于微创手术,内镜手术的术前评估及制定手术方案,可以提供有效的辅助手段,达到缩短手术时间、减少出血量、减少泌尿系损伤、缩短住院时间的目的,逐步实现临床数字医学核心技术在临床的指导和辅助应用。


关键词: 生殖器肿瘤, 女(雌)性, 自然腔道内镜手术, 成像, 三维

Abstract: Objective  To explore clinical application of three-dimensional(3-D) digital reconstruction of pelvic anatomy in endoscopic surgery for gynecological benign tumors. 
Methods  A total of 80 patients with benign tumors that were treated by endoscopic surgery were enrolled, and in the control group, a retrospective analysis method was used to select 80 patients with gynecological benign tumors treated in our hospital. The patients in the control group underwent routine endoscopic surgery, while the patients in the observation group underwent endoscopic surgery on the basis of 3-D digital reconstruction of pelvic anatomy. The diagnosis rate, postoperative cure rate, duration of operation, incidence of complications, duration of hospitalization, blood loss, hospitalization expenses and patient compliance were compared between the two groups. 
Results  The diagnosis rate and cure rate in the observation group was higher than those in the control group(P<0.05). The duration of operation and hospitalization, blood loss during operation and the probability of complications in the observation group were lower than those in the control group, and the compliance of the patients in the observation group was good(P<0.05). 
Conclusion  The 3-D digital model of pelvic cavity, which can be used for preoperative evaluation and development of surgical plan of minimally invasive surgery and endoscopic surgery, can provide effective auxiliary means to shorten duration of operation, reduce blood loss and urinary system injury, and shorten duration of hospitalization, gradually ensuring the clinical guidance and assistance of core technology in digital medicine in clinical practice.


Key words: genital neoplasms, female, natural orifice endoscopic surgery, imaging, three-dimensional