3D-MSCT在腹腔镜右半结肠癌根治术中的应用

doi:10.7517/issn.1674-0475.221001

影像科学与光化学 ›› 2023, Vol. 41 ›› Issue (1): 59-63.DOI: 10.7517/issn.1674-0475.221001

3D-MSCT在腹腔镜右半结肠癌根治术中的应用

张伟兴¹, 李顾楠¹, 肖铁臣²

1. 苏州大学附属常州市肿瘤医院胃肠外科, 江苏常州 213032;
2. 苏州大学附属常州市肿瘤医院影像科, 江苏常州 213032

收稿日期:2022-10-09 出版日期:2023-01-23 发布日期:2023-01-31
通讯作者: 李顾楠

Application of 3D-MSCT in Laparoscopic Radical Resection of Right Colon Cancer

ZHANG Weixing¹, LI Gu'nan¹, XIAO Tiechen²

1. Department of Gastrointestinal Surgery, Changzhou Cancer Hospital Affiliated to Soochow University, Changzhou 213032, Jiangsu, P. R. China;
2. Department of Imaging, Changzhou Cancer Hospital Affiliated to Soochow University, Changzhou 213032, Jiangsu, P. R. China

Received:2022-10-09 Online:2023-01-23 Published:2023-01-31

摘要/Abstract

摘要： 本研究探讨多层螺旋CT三维重建（3D-MSCT）在腹腔镜右半结肠癌根治术中的应用价值。收集右半结肠癌患者100例，其中术前行多层螺旋CT三维重建患者61例（观察组），行常规CT检查患者39例（对照组），分析两组术前T分期、N分期情况。观察组和对照组术前T分期与病理分期Kappa值分别为0.821和0.758（P<0.05），术前N分期与病理分期Kappa值分别为0.825和0.813（P<0.05），观察组和对照组术前T分期准确率分别为88.52%和84.62%，术前N分期准确率分别为90.16%和89.74%，差异无统计学意义（P>0.05）；观察组手术时间明显短于对照组，而术中出血量和血管损伤比例明显低于对照组（P<0.05）；观察组术后血清胃泌素（GAS）、胃动素（MTL）水平明显高于对照组（P<0.05），而皮质醇（Cor）和促肾上腺皮质激素（ACTH）水平明显低于对照组（P<0.05）。在腹腔镜右半结肠癌根治术中，多层螺旋CT三维重建有助于为手术提供全面的信息，避免血管意外损伤，对患者机体应激、胃肠功能影响小。

关键词: 多层螺旋CT三维重建, 腹腔镜右半结肠癌根治术, 应用价值

Abstract: This study explored the application value of multi-slice spiral CT three-dimensional reconstruction (3D-MSCT) in laparoscopic radical resection of right colon cancer. Collected 100 patients with right colon cancer, among them there were 61 patients with 3D-MSCT before operation (the observation group) and 39 patients (control group) underwent routine CT examination. The preoperative T stage and N stage of the two groups were analyzed. The Kappa values of preoperative T stage and pathological stage in observation group and control group were 0.821 and 0.758, respectively (P<0.05), and the Kappa values of preoperative N stage and pathological stage were 0.825 and 0.813, respectively, P<0.05. The accuracy of preoperative T stage in observation group and control group were 88.52% and 84.62%, and the accuracy of preoperative N stage was 90.16% and 89.74%, respectively, and there was no significant difference (P>0.05). The operation time of the observation group was significantly shorter than that of the control group, and the intra-operative blood loss and the proportion of vascular injury were significantly lower than those of the control group (P<0.05). The levels of serum gastrin (GAS) and motilin (MTL) in the observation group were significantly higher than those in the control group (P<0.05), while the levels of cortisol (Cor) and adrenal corticotropin (ACTH) were significantly lower than those in the control group (P<0.05). In laparoscopic radical resection of right colon cancer, multi-slice spiral CT three-dimensional reconstruction is helpful in providing comprehensive information for the operation, avoid accidental vascular injury, and have little impact on patients' body stress and gastrointestinal function.

Key words: multi-slice spiral CT three-dimensional reconstruction, laparoscopic radical resection of right colon cancer, application value

张伟兴, 李顾楠, 肖铁臣. 3D-MSCT在腹腔镜右半结肠癌根治术中的应用[J]. 影像科学与光化学, 2023, 41(1): 59-63.

ZHANG Weixing, LI Gu'nan, XIAO Tiechen. Application of 3D-MSCT in Laparoscopic Radical Resection of Right Colon Cancer[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2023, 41(1): 59-63.

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3D-MSCT在腹腔镜右半结肠癌根治术中的应用

Application of 3D-MSCT in Laparoscopic Radical Resection of Right Colon Cancer

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