3D成像联合仿真内镜技术在肺尘埃沉着病患者进行支气管镜术前的应用价值  

Application value of 3D imaging combined with virtual endoscopy in pneumoconiosis patients before bronchial surgery

作　　者：黄贤平 崔开旺 龚享文 刘辉 HUANG Xianping;CUI Kaiwang;GONG Xiangwen;LIU Hui(Department of Imaging,Ganzhou Fifth People's Hospital,Ganzhou,Jiangxi 341000,China;Department of Respiratory and Critical Care Medicine,Ganzhou Fifth People's Hospital/Ganzhou Institute of Respiratory Disease Prevention and Control,Ganzhou,Jiangxi 341000,China)

机构地区：[1]赣州市第五人民医院影像科,江西赣州341000 [2]赣州市第五人民医院呼吸与危重症医学科/赣州市呼吸病防治研究所,江西赣州341000

出　　处：《检验医学与临床》2023年第22期3275-3278,共4页Laboratory Medicine and Clinic

基　　金：江西省卫生健康委员会科技计划项目(202212320)。

摘　　要：目的探讨在肺尘埃沉着病患者进行支气管镜术前应用3D成像联合仿真内镜技术的临床价值。方法选取2020年1月至2022年12月于赣州市第五人民医院住院治疗且需要进行支气管镜术的Ⅱ期肺尘埃沉着病患者60例为研究对象,按照随机数字表法分为对照组和研究组,各30例。对照组进行常规CT检查,研究组应用3D成像联合仿真内镜技术进行检查,随后两组均进行支气管镜术。比较两组气道情况、支气管镜检查的定位准确率、并发症发生情况。结果研究组气道与周围结构关系清晰患者比例高于对照组,差异有统计学意义(P<0.05);两组气道位置正常、管腔大小正常、管壁厚薄正常患者比例比较,差异无统计学意义(P>0.05);研究组的支气管镜检查的定位准确率高于对照组,差异有统计学意义(P<0.05);研究组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论3D成像联合仿真内镜技术在肺尘埃沉着病患者进行支气管镜术前具有较高的临床应用价值,可提高支气管镜检查时定位和定性的准确性。Objective To investigate the clinical value of 3D imaging combined with virtual endoscopy in pneumoconiosis patients before bronchial surgery.Methods A total of 60 patients with stageⅡpneumoconiosis who were hospitalized in Ganzhou Fifth People's Hospital and required bronchoscopy were recruited as objects in this study from January 2020 to December 2022,they were divided into control group and study group according to random number table method,with 30 cases in each group.The control group underwent routine CT examination,while the study group underwent 3D imaging combined with virtual endoscopy.And both groups underwent bronchial surgery.The airway conditions,positioning accuracy of tracheoscopy and complications between the two groups were compared.Results The proportion of patients with clear relationship between air tube and surrounding structures in study group was higher than that in control group,the difference was statistically significant(P<0.05).There was no significant difference on the proportions of normal airway position,normal lumen size and normal wall thickness between the two groups(P>0.05).The localization accuracy in study group was higher than that in control group,the difference was statistically significant(P<0.05).The total incidence rate of complications in study group was lower than that in control group,the difference was statistically significant(P<0.05).Conclusion 3D imaging combined with virtual endoscopy has high clinical application value in patients with pneumoconiosis before undergoing bronchial surgery,which can improve the accuracy of localization and qualitative examination during bronchoscopy.

关 键 词：3D成像 仿真内镜技术 肺尘埃沉着病 支气管镜术 

分 类 号：R563.9[医药卫生—呼吸系统]