术前规划采用3D数字肺技术在多发肺内结节手术中的作用研究  

Study on the Role of 3D Digital Lung Technology in Preoperative Planning for Multiple Intrapulmonary Nodules

作　　者：曹西迎 谢春发[1] 吴志诚[1] 郭少鸣 钟炜祥 章祖雄[1] 朱慎钰[1] 古亮 黄明登 杨丽萍 CAO Xiying;XIE Chunfa;WU Zhicheng;GUO Shaoming;ZHONG Weixiang;ZHANG Zuxiong;ZHU Shenyu;GU Liang;HUANG Mingdeng;YANG Liping(First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,China;不详)

机构地区：[1]赣南医学院第一附属医院,江西赣州341000

出　　处：《中国医学创新》2022年第29期9-12,共4页Medical Innovation of China

基　　金：江西省卫生健康委普通科技计划项目(202210901)。

摘　　要：目的:研究术前规划采用3D数字肺技术在多发肺内结节手术中的作用。方法:以赣南医学院第一附属医院2021年1-9月采取3D数字肺技术联合胸腔镜进行手术治疗的肺多发结节患者40例作为观察组,另选取采取常规CT联合胸腔镜进行手术治疗肺多发结节患者40例作为对照组。比较两组患者的围手术期指标、解剖位置与影像位置的符合性、术后恢复情况、术后并发症之间的差异。结果:观察组患者的术中出血量少于对照组(t=36.664,P=0.000),手术时间短于对照组(t=62.303,P=0.000);两组患者的淋巴结清扫数量比较,差异无统计学意义(t=0.403,P=0.688)。观察组患者的结节位置、结节与营养血管的位置关系、结节与支气管位置关系的符合率均高于对照组(χ^(2)=8.658、9.600、11.168,P=0.003、0.002、0.001);观察组患者的胸管放置时间及术后住院时间均短于对照组(t=6.518、4.714,P=0.000、0.000),胸液总量少于对照组(t=3.370,P=0.001)。两组患者的术后心律失常、胸管延长漏气发生情况比较,差异均无统计学意义(P>0.05)。结论:多发肺内结节患者采用3D数字肺技术进行术前规划,患者的术中出血量较小,手术时间、胸管放置时间缩短,建议临床推广。Objective:To study the role of 3D digital lung technology in preoperative planning for multiple intrapulmonary nodules.Method:A total of 40 patients with multiple pulmonary nodules treated by 3D digital lung technology combined with thoracoscopic surgery in First Affiliated Hospital of Gannan Medical University from January to September 2021 were selected as the observation group,and another 40 patients with multiple pulmonary nodules treated by conventional CT combined with thoracoscopic surgery were selected as the control group.The perioperative indicators,the coincidence between anatomical location and image location,postoperative recovery,and postoperative complications were compared between the two groups.Result:The intraoperative blood loss of the observation group was less than that of the control group(t=36.664,P=0.000),and the operation time of the observation group was shorter than that of the control group(t=62.303,P=0.000);there was no statistical significance in the number of lymph node dissection between the two groups(t=0.403,P=0.688).The coincidence rates of nodule location,nodule and vegetative vessel location,nodule and bronchus location in observation group were significantly higher than those in control group(χ^(2)8.658,9.600,11.168,P=0.003,0.002,0.001).The chest tube placement time and postoperative hospital stay in the observation group were shorter than those in the control group(t=6.518,4.714,P=0.000,0.000),and the total amount of thoracic fluid was less than that in the control group(t=3.370,P=0.001).There were no statistically significant differences between the two groups in the incidences of postoperative arrhythmia and prolonged chest duct air leakage(P>0.05).Conclusion:Preoperative planning of patients with multiple intrapulmonary nodules using 3D digital lung technology has less intraoperative blood loss,shorter operation time and chest tube placement time,which is recommended for clinical promotion.

关 键 词：多发肺内结节 3D数字肺技术 三维重建 

分 类 号：R655.3[医药卫生—外科学]