3D-CTBA技术在肺部小结节精准肺段切除术中的应用  

The Application of the Three-dimensional Computed Tomography Bronchography and Angiography(3D-CTBA)Technology in the Surgical Treatment of Pulmonary Nodules

作　　者：谢金标[1,2] 陈鹏飞 杨天宝 王武[1,2] 陈博扬 XIE Jinbiao;CHEN Pengfei;YANG Tianbao;WANG Wu;CHEN Boyang(Department of Cardiothoracic Surgery,TheAffiliatcd Hospital of Putian University,Putian Fujian 351100,China;Department of Cardiothoracic Surgery,Fujian Medical University Tcaching Hospital Putian Fujian 351100,China)

机构地区：[1]莆田学院附属医院胸心外科,福建莆田351100 [2]福建医科大学教学医院胸心外科,福建莆田351100

出　　处：《莆田学院学报》2018年第5期23-27,共5页Journal of putian University

基　　金：莆田学院校内课题(2015047)

摘　　要：探讨三维CT支气管血管重建(3D-CTBA)技术在肺部小结节外科治疗中的应用。选取120例行外科治疗的肺结节患者,随机分为3D-CTBA和CT组,观察结节在重建模型上的符合率,对比术中出血量、手术时间、淋巴结清扫数量及术后恢复情况。结果显示,3D-CTBA组结节位置及与血管、支气管关系在重建模型上符合率分别为95.2%、92.8%、94.8%;3D-CTBA组术中出血量减少19.2mL、手术时间缩短26.5min、术后住院天数缩短1.4d(P<0.05),两组淋巴结清扫无显著性差异(P>0.05)。结果表明,3D-CTBA技术应用于肺部结节外科治疗,可行精准肺段切除,减少手术创伤及术后并发症。The application of three-dimensional computed tomography bronchography and angiography(3D-CTBA)in the surgical treatment of pulmonary nodules was discussed.Totally 120 patients with pulmonarynodules treated by surgery were divided into group 3D-CTBA and group cT.The coincidence rate of nodules inthe 3D-CTBA group on the reconstruction model was observed.The intraoperative blood loss,operative time,lymph node dissection and postoperative recovery were compared between the two groups.The coincidence rateof the location of the nodule was 95.2%,and the coincidence rate of the relationship between nodule nutrient vessels and bronchi was 92.8%,94.8%.In the 3D-CTBA group,the intraoperative bleeding volume was reduced by 19.2 mL,the operative time was shortened by 26.5 min,and the hospital stay was shortened by 1.4days(P<0.05).There was no significant difference in the number of lymph node dissection between the twogroups(P>0.05).The application of 3D-CTBA technology in the surgical treatment of pulmonary nodules is of great significance,which can perform precise anatomical pulmonary segmentectomy during operation,so as to reduce surgical trauma and complications after operation.

关 键 词：三维CT支气管血管重建 肺部结节 胸腔镜 肺段切除 

分 类 号：R655.3[医药卫生—外科学]