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中华疝和腹壁外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (03) : 286 -291. doi: 10.3877/cma.j.issn.1674-392X.2025.03.008

论著

基于3D Slicer软件的术前规划在腹壁纤维瘤手术中的临床应用价值:一项单中心前瞻性分析
李逸凡1, 洪源1, 熊茂明1,()   
  1. 1. 230001 合肥,安徽医科大学第一附属医院普外科胃肠及疝病外科
  • 收稿日期:2025-02-10 出版日期:2025-06-18
  • 通信作者: 熊茂明
  • 基金资助:
    安徽省自然科学基金面上项目(2208085MH240)

Clinical application value of preoperative planning based on 3D Slicer software in surgery for desmoid tumors of the abdominal wall:a single-center prospective analysis

Yifan Li1, Yuan Hong1, Maoming Xiong1,()   

  1. 1. Department of Gastrointestinal and Hernia Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230001, China
  • Received:2025-02-10 Published:2025-06-18
  • Corresponding author: Maoming Xiong
引用本文:

李逸凡, 洪源, 熊茂明. 基于3D Slicer软件的术前规划在腹壁纤维瘤手术中的临床应用价值:一项单中心前瞻性分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(03): 286-291.

Yifan Li, Yuan Hong, Maoming Xiong. Clinical application value of preoperative planning based on 3D Slicer software in surgery for desmoid tumors of the abdominal wall:a single-center prospective analysis[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(03): 286-291.

目的

探讨3D Slicer技术在腹壁纤维瘤术前规划和术中指导中的临床应用价值,具体评估其在提高手术全切除率、缩短手术时间、降低术后住院时间、改善患者生活质量以及优化治疗费用等方面的效果。

方法

本研究为前瞻性非随机对照研究,因手术方案设计的干预特性,采用非随机化分组的单盲试验设计。纳入2012年1月至2025年1月在安徽医科大学第一附属医院普外科接受手术的37例腹壁纤维瘤患者,根据术前是否采用3D Slicer技术进行分组。试验组(n=20)采用3D Slicer进行术前规划,对照组(n=17)采用传统二维影像规划方式。比较2组患者的手术指标(全切除率、术后住院时间、手术时间)、术后生活质量(SF-36评分)及住院费用。

结果

试验组的全切除率(100%比70.6%,P=0.014)、术后住院时间[1.0(1.0,2.0)d比2.0(2.0,6.5)d,P<0.001]、手术时间[42.5(31.3,50.0)min比100.0(85.0,139.5)min,P<0.001]及SF-36评分[92.0(90.0,94.0)分比88.0(80.0,93.5)分,P=0.020]均显著优于对照组,而住院费用2组差异无统计学意义(P=0.330)。

结论

3D Slicer软件在腹壁纤维瘤术前规划中具有显著优势,可提高手术精准性和效率,改善术后生活质量,为临床应用提供可靠的依据。

Objective

To investigate the clinical application value of 3D Slicer technology in preoperative planning and intraoperative guidance for desmoid tumors of the abdominal wall, and evaluate its effects in improving the total resection rate, shortening the surgical time, reducing the postoperative hospital stay, improving the quality of life of patients, and optimizing the treatment costs.

Methods

This study is a prospective non-randomized controlled trial. Due to the intervention characteristics of the surgical plan design, a single-blind non-randomized trial was adopted. A total of 37 patients with desmoid tumors of the abdominal wall who underwent surgery in the Department of General Surgery, First Affiliated Hospital of Anhui Medical University, from January 2012 to January 2025 were included. Patients were divided into two groups based on whether 3D Slicer technology was used for preoperative planning. The experimental group (n=20) used 3D Slicer for preoperative planning, while the control group (n=17) used traditional two-dimensional imaging planning methods. Surgical outcomes (total resection rate, postoperative hospital stay, surgical time), postoperative quality of life (SF-36 score), and hospitalization costs were compared between the two groups.

Results

The experimental group showed significantly better outcomes in total resection rate (100% vs 70.6%, P=0.014), postoperative hospital stay [1.0 (1.0, 2.0) days vs 2.0 (2.0, 6.5)days, P<0.001], surgical time [42.5 (31.3, 50.0) minutes vs 100.0 (85.0, 139.5) minutes, P<0.001], and SF-36 score [92.0 (90.0, 94.0) vs 88.0 (80.0, 93.5), P=0.020]compared to the control group. There was no statistically significant difference in hospitalization costs between the two groups (P=0.330).

Conclusion

3D Slicer software has significant advantages in preoperative planning for desmoid tumors of the abdominal wall. It can improve surgical precision and efficiency, enhance postoperative quality of life, and provide a reliable basis for clinical application.

图1 3D Slicer勾画的腹壁纤维瘤三维重建图 注:1A CT影像上的勾画过程,展示肿瘤、血管及神经结构的标注;1B 三维重建的正面视图(前视后),清晰显示肿瘤相对于周围解剖结构的位置;1C右侧视图(右视左),进一步展现肿瘤与邻近组织的空间关系;1D 左侧视图(左视右),提供从另一角度观察肿瘤形态及其与周围结构的关联。
表1 2组接受腹壁纤维瘤手术患者的基线特征比较
表2 2组接受腹壁纤维瘤手术患者手术时间和术后住院时间比较
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