基于三维重建个体化单孔胸腔镜解剖性肺段切除术治疗肺结节的临床研究  

Clinical study of Individualized Single-port Thoracoscopic Anatomical Segmentectomy Based on Three-dimensional Reconstruction in the Treatment of Pulmonary Nodules

作　　者：吴泽钦 吉灵[1] 孙晖[1] 曾淦华[1] WU Zeqin;JI Ling;SUN Hui;ZENG Ganhua(Ganzhou People’s Hospital,Ganzhou 341000,China;不详)

机构地区：[1]江西省赣州市人民医院,江西赣州341000

出　　处：《中国医学创新》2021年第27期41-44,共4页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(20204626)。

摘　　要：目的:探讨基于三维重建个体化单孔胸腔镜解剖性肺段切除术治疗肺结节的临床效果。方法:选择2018年1月-2020年3月赣州市人民医院收治的84例肺结节患者,根据随机数字表法将其分为重建组和对照组,每组42例。重建组行基于三维重建个体化单孔胸腔镜解剖性肺段切除术,对照组行常规单孔胸腔镜解剖性肺段切除术。分析重建组术前与术中相关指标符合情况,比较两组术中、术后指标和安全性。结果:术前三维重建结节部位定位成功率为100%,肺结节营养血管、肺结节毗邻支气管符合率分别为97.62%、95.24%。两组术中清扫淋巴结个数比较,差异无统计学意义(P>0.05)。重建组手术用时短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。重建组总引流量少于对照组,住院时间、引流管留置时间均短于对照组,差异均有统计学意义(P<0.05)。重建组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:单孔胸腔镜解剖性肺段切除术在三维重建指导下治疗肺结节,能够准确定位结节,提高手术安全性与精确性,减小手术创伤,缩短术后恢复时间,值得推广。Objective:To investigate the clinical effect of individualized single-port thoracoscopic anatomical segmentectomy based on three-dimensional reconstruction in the treatment of pulmonary nodules.Method:A total of 84 patients with pulmonary nodules admitted to Ganzhou People’s Hospital from January 2018 to March 2020 were selected,they were divided into reconstruction group and control group according to a random number table,42 cases in each group.The reconstruction group was treated with individualized single port thoracoscopic anatomical segmentectomy based on three-dimensional reconstruction,the control group was treated with conventional single-port thoracoscopic anatomical segmentectomy.The conformity of related indexes of the reconstruction group before surgery and during surgery were analyze,and the indexes and safety during surgery and after surgery were compared between two groups.Result:The success rate of preoperative three-dimensional reconstruction of nodular location was 100%,and the coincidence rate of pulmonary nodules vegetative vessels and pulmonary nodules adjacent bronchus were 97.62% and 95.24%,respectively.There was no significant difference in the number of dissected lymph nodes during surgery between two groups(P>0.05).The surgical time of the reconstruction group was shorter than that of the control group,and the amount of intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).The total drainage volume of the reconstruction group was less than that of the control group,and the length of hospital stay and indent time of drainage tube were shorter than those of the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications of the reconstruction group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Single-port thoracoscopic anatomical segmentectomy for pulmonary nodules under the guidance of three-dimensional recons

关 键 词：肺结节 解剖性肺段切除术 三维重建 

分 类 号：R655.3[医药卫生—外科学]