[1]代祖建,林铿强,黄明翔,等.三维CT支气管血管重建技术在胸腔镜肺段切除术治疗早期肺癌中的应用[J].中国医学物理学杂志,2022,39(8):967-971.[doi:DOI:10.3969/j.issn.1005-202X.2022.08.009]
　DAI Zujian,LIN Kengqiang,HUANG Mingxiang,et al.Application of three-dimensional computed tomography bronchography and angiography in thoracoscopic pulmonary segmentectomy for early lung cancer[J].Chinese Journal of Medical Physics,2022,39(8):967-971.[doi:DOI:10.3969/j.issn.1005-202X.2022.08.009]
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三维CT支气管血管重建技术在胸腔镜肺段切除术治疗早期肺癌中的应用()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
39卷
期数:
2022年第8期
页码:
967-971
栏目:
医学影像物理
出版日期:
2022-08-04

文章信息/Info

Title:
Application of three-dimensional computed tomography bronchography and angiography in thoracoscopic pulmonary segmentectomy for early lung cancer
文章编号:
1005-202X（2022）08-0967-05
作者:
代祖建; 林铿强; 黄明翔; 王世忠; 叶建刚; 许德新; 潘闪
福建省福州肺科医院胸外科， 福建 福州 350008
Author(s):
DAI Zujian;  LIN Kengqiang;  HUANG Mingxiang;  WANG Shizhong;  YE Jiangang;  XU Dexin;  PAN Shan
Department of Thoracic Surgery, Fuzhou Pulmonary Hospital of Fujian Province, Fuzhou 350008, China
关键词:
三维; 支气管血管重建; 肺癌; 胸腔镜; 肺段切除术
Keywords:
Keywords: three-dimensional bronchial vascular reconstruction lung cancer thoracoscope pulmonary segmentectomy
分类号:
R318；R734.2
DOI:
DOI:10.3969/j.issn.1005-202X.2022.08.009
文献标志码:
A
摘要:
目的：观察三维CT支气管血管重建技术（3D-CTBA）在胸腔镜肺段切除术治疗早期肺癌中的应用价值。方法：回顾性分析60例早期非小细胞肺癌患者的临床资料，均行胸腔镜肺段切除术+淋巴结清扫（或采样），其中30例采用3D-CTBA技术（三维重建组），另外30例术前常规进行二维CT检查（CT组），记录两组手术指标、住院总费用、术后恢复情况、并发症发生率及术后6个月复发情况。结果：三维重建组术中出血量显著少于CT组（P<0.05），手术时间显著短于CT组（P<0.05），切缘宽度显著大于CT组（P<0.05）；三维重建组术后胸管留置时间、住院时间显著短于CT组（P<0.05），胸管引流量、住院总费用显著少于CT组（P<0.05）；三维重建组并发症总发生率显著低于CT组（P<0.05）；随访6个月，发现两组均无复发病例。结论：3D-CTBA技术应用于早期肺癌患者胸腔镜肺段切除术，可有效提高手术安全性，获得更好手术切除效果，同时减少术后并发症，更利于患者快速康复，降低住院费用。 【关键词】三维；支气管血管重建；肺癌；胸腔镜；肺段切除术
Abstract:
Abstract: Objective To evaluate the application value of three-dimensional computed tomography bronchography and angiography (3D-CTBA) in thoracoscopic pulmonary segmentectomy for early lung cancer. Methods The clinical data of 60 patients with early non-small cell lung cancer were analyzed retrospectively. All patients were treated with thoracoscopic pulmonary segmentectomy and lymph node dissection (or sampling). Among them, 30 patients were subjected to 3D-CTBA (3D reconstruction group), and the other 30 received preoperative routine two-dimensional CT examination (CT group). The operation indicators, total hospitalization expense, postoperative recovery, the incidence rates of complications and recurrence in 6 months after operation were recorded. Results Compared with CT group, 3D reconstruction group had less intraoperative blood loss (P<0.05), shorter operation time (P<0.05), and larger margin width (P<0.05). The postoperative chest tube indwelling time and hospital stay were noticeably shorter in 3D reconstruction group than CT group (P<0.05), and the chest tube drainage volume and hospitalization expense in 3D reconstruction group were significantly less (P<0.05). The total incidence of complications in 3D reconstruction group was obviously lower than that in CT group (P<0.05). No recurrence was found in the two groups during 6 months of follow-up. Conclusion The application of 3D-CTBA in thoracoscopic pulmonary segmentectomy for patients with early lung cancer can effectively improve the safety of the operation, and obtain better surgical results while reducing postoperative complications, which is more conducive to recovery and reducing hospitalization expense.

备注/Memo

备注/Memo:
【收稿日期】2022-01-22 【基金项目】福建省卫生健康科研人才培养项目（2019-ZQN-89）；福州市临床重点专科建设项目（201912003） 【作者简介】代祖建，硕士，副主任医师，研究方向：肺部小结节诊疗，E-mail: daizujian1977@163.com
更新日期/Last Update: 2022-09-05