Percutaneous transhepatic cholecystic puncture and drainage combined with laparoscopic surgery in the treatment of acute cholecystitis based on medical thermal modeling

IF 5.1 3区 工程技术 Q2 ENERGY & FUELS Thermal Science and Engineering Progress Pub Date : 2024-11-03 DOI:10.1016/j.tsep.2024.103031
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Abstract

Acute cholecystitis is a common acute abdomen, and the traditional treatment includes drug therapy and surgical intervention. With the development of medical technology, percutaneous hepatic puncture cholecystectomy (PTGBD) has been widely used in the treatment of acute cholecystitis. However, how to optimize the treatment effect and reduce complications is still the focus of clinical research. In this study, a certain number of patients with acute cholecystitis were selected to evaluate the heat distribution of their gallbladder and surrounding tissues by medical thermal modeling technology, then percutaneous hepatic puncture cholecystectomy was performed, and laparoscopic cholecystectomy was performed after the condition was stabilized. The results of the study showed that the treatment regimen based on medical thermal modeling significantly shortened the recovery time of patients and reduced the incidence of postoperative complications. Thermal modeling technology can effectively predict the inflammation degree and hemodynamic changes of gallbladder, and provide a reliable basis for personalized treatment. Therefore, the treatment of acute cholecystitis by percutaneous hepatic puncture gallbladder drainage combined with laparoscopic surgery based on medical thermal modeling can effectively improve the treatment effect and reduce complications, and is worthy of promotion and application in clinical practice. Further research will focus on the potential application of thermal modeling in other surgical fields.
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基于医学热模型的经皮经肝胆囊穿刺引流术联合腹腔镜手术治疗急性胆囊炎
急性胆囊炎是一种常见的急腹症,传统治疗方法包括药物治疗和手术治疗。随着医疗技术的发展,经皮肝穿刺胆囊切除术(PTGBD)已广泛应用于急性胆囊炎的治疗。然而,如何优化治疗效果、减少并发症仍是临床研究的重点。本研究选取一定数量的急性胆囊炎患者,通过医学热模型技术评估其胆囊及周围组织的热分布,然后实施经皮肝穿刺胆囊切除术,待病情稳定后再实施腹腔镜胆囊切除术。研究结果表明,基于医学热建模的治疗方案大大缩短了患者的康复时间,降低了术后并发症的发生率。热模型技术能有效预测胆囊的炎症程度和血流动力学变化,为个性化治疗提供可靠依据。因此,基于医学热建模的经皮肝穿刺胆囊引流术联合腹腔镜手术治疗急性胆囊炎,能有效提高治疗效果,减少并发症,值得在临床上推广应用。进一步的研究将聚焦于热建模在其他外科领域的潜在应用。
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来源期刊
Thermal Science and Engineering Progress
Thermal Science and Engineering Progress Chemical Engineering-Fluid Flow and Transfer Processes
CiteScore
7.20
自引率
10.40%
发文量
327
审稿时长
41 days
期刊介绍: Thermal Science and Engineering Progress (TSEP) publishes original, high-quality research articles that span activities ranging from fundamental scientific research and discussion of the more controversial thermodynamic theories, to developments in thermal engineering that are in many instances examples of the way scientists and engineers are addressing the challenges facing a growing population – smart cities and global warming – maximising thermodynamic efficiencies and minimising all heat losses. It is intended that these will be of current relevance and interest to industry, academia and other practitioners. It is evident that many specialised journals in thermal and, to some extent, in fluid disciplines tend to focus on topics that can be classified as fundamental in nature, or are ‘applied’ and near-market. Thermal Science and Engineering Progress will bridge the gap between these two areas, allowing authors to make an easy choice, should they or a journal editor feel that their papers are ‘out of scope’ when considering other journals. The range of topics covered by Thermal Science and Engineering Progress addresses the rapid rate of development being made in thermal transfer processes as they affect traditional fields, and important growth in the topical research areas of aerospace, thermal biological and medical systems, electronics and nano-technologies, renewable energy systems, food production (including agriculture), and the need to minimise man-made thermal impacts on climate change. Review articles on appropriate topics for TSEP are encouraged, although until TSEP is fully established, these will be limited in number. Before submitting such articles, please contact one of the Editors, or a member of the Editorial Advisory Board with an outline of your proposal and your expertise in the area of your review.
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