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| 依据CT血管成像制定个体化手术方案在腹腔镜脾切除术中的应用 | |
| 引用本文： | 李巍,董晓彤,崔志新,刘亚利,康建省,张学军.依据CT血管成像制定个体化手术方案在腹腔镜脾切除术中的应用[J].中国误诊学杂志,2011,11(1):15-17. |
| 作者姓名： | 李巍 董晓彤 崔志新 刘亚利 康建省 张学军 |
| 作者单位： | 1. 承德医学院附属医院普外一科,河北,承德,067020 2. 承德医学院护理系 3. 承德医学院附属医院CT科 4. 河北医科大学第二医院微创外科,河北,石家庄,050000 |
| 摘 要： | 目的探讨术前依据CT血管成像(CTA)制定个体化手术方案在腹腔镜脾切除术中的应用。方法对40例患者术前行脾动脉CTA检查,制定个体化手术方案。分散型脾动脉行脾蒂二级血管离断术,集中型脾动脉行脾蒂一级血管离断术;脾动脉位于胰腺上缘,先行分离并结扎脾动脉主干,脾动脉位于胰腺后方或胰尾内,先离断脾周围韧带和剥离胰尾,再显露脾蒂血管。结果 40例患者顺利完成腹腔镜脾切除术,术中出血减少,手术时间缩短。结论术前CTA可明确脾动脉及其分支解剖类型及其走行,指导制定个性化手术方案,增强手术的安全性。 |
| 关 键 词： | 腹腔镜检查 脾切除术 体层摄影术 X线计算机 |
Application experience of developing individualized surgical treatment based on preoperative CTA in laparoscopic splenectomy |
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| LI Wei,DONG Xiao-tong,CUI Zhi-xin,LIU Ya-li,KANG Jian-sheng,ZHANG Xue-jun.Application experience of developing individualized surgical treatment based on preoperative CTA in laparoscopic splenectomy[J].Chinese Journal of Misdiagnostics,2011,11(1):15-17. | |
| Authors: | LI Wei DONG Xiao-tong CUI Zhi-xin LIU Ya-li KANG Jian-sheng ZHANG Xue-jun |
| Institution: | LI Wei,DONG Xiao-tong,CUI Zhi-xin,LIU Ya-li,KANG Jian-sheng,ZHANG Xue-junDepartment of General Surgery,The Affiliate Hospital of Chengde Medical College,Chengde 067020,China |
| Abstract: | Objective To explore the application of developing individualized surgical treatment based on preoperative CTA in Laparoscopic Splenectomy.Methods To do the splenic artery CTA examination before operation and guide the development of individualized surgical treatment:using the technique of spleen subpedicle severance in distributed splenic artery and using the technique of spleen pedicle severance in centralized splenic artery;Splenic artery was located above the pancreatic tail,and to isolate it first and ... |
| Keywords: | Laparoscopy Splenectomy Tomography X-Ray Computed |
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