三维重建在指导多发肺磨玻璃样结节手术中的作用  

The role of three-dimensional reconstruction in guiding the operation of multiple ground vitreous nodules of the lung

作　　者：王高鑫 郝长城 徐统震 胡德宏[3] 王秋艳[4] 张振江[3] WANG Gaoxin;HAO Changcheng;XU Tongzhen;HU Dehong;WANG Qiuyan;ZHANG Zhenjiang(Department of Surgery,Weifang Medical University,Weifang 261053,China;Department of Thoracic Surgery,Weifang Second People's Hospital;Department of Thoracic Surgery,Weifang Peoples Hospital;Department of Radiology,Weifang Peoples Hospital)

机构地区：[1]潍坊医学院外科学教研室,山东潍坊261053 [2]潍坊市第二人民医院胸外科 [3]潍坊市人民医院胸外科 [4]潍坊市人民医院放射科

出　　处：《潍坊医学院学报》2020年第3期190-193,共4页Acta Academiae Medicinae Weifang

摘　　要：目的评估三维重建软件(IQQA系统)应用于多发肺磨玻璃结节(GGO)患者同期行胸腔镜下肺段切除手术的临床应用价值。方法统计2018年5月1日~2019年10月1日期间符合纳入标准的GGO共计25例患者,根据IQQA使用情况,将患者分为两组:IQQA组15例、非IQQA组10例,比较两组患者的一般临床特点及手术情况。结果 IQQA智能系统均能重建出血管、支气管走形分支及变异情况,术中段、亚段级支气管、血管均与术前相符。IQQA组15例患者均在全胸腔镜下行解剖性肺段(亚段)切除术,非IQQA组有3例患者中转改行肺叶切除术,其余患者均行解剖性肺段切除术。两组患者在术中结节定位时间以及手术时间上差异显著(P<0.05)。结论 IQQA用于胸腔镜下肺段、亚肺段及联合亚段切除的病灶定位、术中导航安全可行。Objective To evaluate the clinical value of three-dimensional reconstruction software in patients with multiple ground glass nodules undergoing thoracoscopic pulmonary segmental resection.Methods Twenty-five GGO patients who met the inclusion criteria from May 1,2018 to October 1,2019 were selected and divided into two groups based on IQQA usage:15 in the IQQA group and 10 in the non-IQQA group.The general clinical features and surgical conditions of the two groups were compared.Results Three-dimensional reconstruction can reconstruct blood vessels,bronchial branch and variation.During operation,all levels of trachea,bronchial and blood vessels were consistent with those before operation.In the IQQA group,15 patients underwent total thoracoscopic anatomic pulmonary segment(subsegment) resection;in the non-IQQA group,3 patients in the non-IQQA group were transferred to lobectomy and the rest underwent anatomic pulmonary segment resection.The nodule localization time and operating time were significantly different between the two groups(P<0.05). Conclusion In the resection of thoracoscopic lung,subpulmonary,and combined subsegment,IQQA is safe and feasible for the lesion positioning and intraoperative navigation.

关 键 词：三维智能定性定量系统 肺段切除 多发肺结节 

分 类 号：R655.3[医药卫生—外科学]