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当前位置：国际妇产科研究 > 2023年 3卷 (3)期

Open Access Article

International Journal of Obstetrics and Gynecology. 2023; 3: (3) ; 12-16 ; DOI: 10.12208/j.ijog.20230015.

Application of multimodal image analysis in surgical planning of ovarian cancer
多模态影像分析在卵巢癌手术规划中的应用

作者： 李荻玲 *, 冯广革, 杨胜富, 李伟

广西玉林市红十字会医院广西玉林

*通讯作者：李荻玲,单位：广西玉林市红十字会医院广西玉林；

发布时间: 2023-07-13 总浏览量: 491

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摘要

目的探讨多模态影像分析在卵巢癌手术规划中的应用价值。方法选择2018年1月至2022年9月在我院行手术治疗的卵巢癌患者84例患者进行研究。以双色球法将患者分为2组，各42例。对照组在新辅助化疗后行常规肿瘤细胞减灭术，观察组在新辅助化疗后术前采用多模态影像学分析手术规划，再行肿瘤细胞减灭术。比较2组患者手术一般情况、炎症因子及并发症发生情况。结果观察组患者手术时间、术中出血量、术后排气时间均较对照组更短（P<0.05）；观察组淋巴结清扫数较对照组更多（P<0.05）。术前两组患者IL-6、IL-8及TNF-α水平差异均无统计学意义（P>0.05）。术后24h两组患者IL-6、IL-8及TNF-α水平均高于术前，但术后观察组IL-6、IL-8及TNF-α水平均低于对照组（P<0.05）。术后对照组出现3例（7.14%）并发症，与观察组的2例（4.76%）比较差异无统计学意义（P>0.05）。结论多模态影像学分析术前规划可有助于缩短卵巢癌手术时间、排气时间，减少术中出血量，并可降低应激激素水平，缓解氧化应激反应。

关键词： 多模态影像分析；卵巢癌；腹腔镜；术前规划；氧化应激

Abstract

Objective To explore the application value of multimodal image analysis in ovarian cancer surgery planning.
Methods 84 patients with ovarian cancer who underwent surgical treatment in our hospital from January 2020 to September 2022 were selected for study. The patients were divided into two groups with 42 cases each. The control group received conventional tumor reduction surgery after neoadjuvant chemotherapy, while the observation group received preoperative multimodal imaging analysis of surgical planning after neoadjuvant chemotherapy, followed by tumor reduction surgery. The general operation conditions, stress hormone levels, oxidative stress reaction indicators and complications of the two groups were compared.
Results The operation time, intraoperative bleeding volume and postoperative exhaust time of patients in the observation group were shorter than those in the control group (P<0.05); The number of lymph nodes in the observation group was more than that in the control group (P<0.05). There were no significant differences in the levels of IL-6, IL-8 and TNF-α between 2 groups before surgery (P>0.05). The levels of IL-6, IL-8 and TNF-α in 2 groups were higher than those before surgery 24h after surgery, but the levels of IL-6, IL-8 and TNF-α in observation group were lower than those in control group after surgery (P<0.05). Postoperative complications occurred in 3 cases (7.14%) in the control group, and there was no significant difference compared with 2 cases (4.76%) in the observation group (P>0.05).
Conclusion Multimodal imaging analysis of preoperative planning can help shorten the surgical time and exhaust time for ovarian cancer, reduce intraoperative bleeding, reduce stress hormone levels, and alleviate oxidative stress reactions.

Key words： Multimodal image analysis; Oophoroma; Laparoscope; Preoperative planning; Oxidative stress

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引用本文

李荻玲, 冯广革, 杨胜富, 李伟, 多模态影像分析在卵巢癌手术规划中的应用[J]. 国际妇产科研究, 2023; 3: (3) : 12-16.

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