基于三维可视化胆道解剖分型与临床意义
Anatomical Classification of Biliary Tract Based on Three-Dimensional Visualization and Its Clinical Significance
DOI: 10.12677/ACM.2023.1392079, PDF,   
作者: 杨新涛：青海大学附属医院肝胆胰外科，青海 西宁；闫 军*：北京清华长庚医院肝胆胰中心，北京
关键词: 三维；成像；胆道解剖分型；综述；Three Dimensions； Imaging； Anatomical Classification of Biliary Tract； Summary
摘要: 基于计算机手术辅助规划系统(CASP)将术前胆道CT二维图像进行三维重建，观察了解肝内胆管的分支模式和变异类型。根据右后段胆管(RPSD)右前段胆管(RASD)和左肝管(LHD)的汇合，以及是否存在附属肝管，对胆道进行分类。且操作方便，弥补二维成像不能立体显示肿瘤、胆道间的相互关系。预测术中可能出现的各种因解剖变异而发生的各种情况。现综述其在临床上的进展，希望为临床应用及进一步研究提供新思路。
Abstract: Based on the computer aided surgical planning system (CASP), the preoperative CT two-dimensional images of biliary tract were reconstructed, and the branching patterns and varia-tion types of intrahepatic bile duct were observed. According to the confluence of right posterior bile duct (RPSD), right anterior bile duct (RASD) and left hepatic duct (LHD), and whether there is accessory hepatic duct, biliary tract is classified. And the operation is convenient, which makes up for the fact that two-dimensional imaging can’t display the relationship between tumor and biliary tract stereoscopically, and can predict various situations that may occur during operation due to anatomical variation. This paper reviews its clinical progress, hoping to provide new ideas for clini-cal application and further research.
文章引用：杨新涛, 闫军. 基于三维可视化胆道解剖分型与临床意义[J]. 临床医学进展, 2023, 13(9): 14855-14862. https://doi.org/10.12677/ACM.2023.1392079

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