三维立体成像联合仿真内镜技术在支气管扩张合并感染患者支气管镜下肺泡灌洗术前检查的应用价值  

The Application Value of Three-Dimensional Imaging Combined with Virtual Endoscopy in Patients with Bronchiectasis and Infection Before Bronchoscopic Alveolar Lavage

作　　者：唐厚 黄贤平 Tang Hou;Huang Xianping(Ganzhou City Fifth People's Hospital,Ganzhou Key Laboratory of Respiratory Diseases,Ganzhou Institute of Respiratory Disease Prevention and Treatment,Ganzhou Jiangxi 341000,China)

机构地区：[1]赣州市第五人民医院·赣州市呼吸疾病重点实验室·赣州市呼吸病防治研究所,江西赣州341000

出　　处：《医疗装备》2024年第10期1-3,7,共4页Medical Equipment

基　　金：江西省卫生健康委科技计划项目(202312091)。

摘　　要：目的探讨三维立体成像联合仿真内镜技术在支气管扩张合并感染患者行支气管肺泡灌洗术(BAL)术前检查的临床应用效果。方法选取2023年1—6月于医院拟行BAL治疗的100例支气管扩张合并感染患者,按随机数字表法分为对照组和试验组,每组50例。BAL术前,对照组采取常规CT检查,试验组采取三维立体成像联合仿真内镜技术检查。比较两组气道情况、气管镜检查的定位准确率及术后并发症发生情况。结果试验组气道与周围结构关系清晰图像占比高于对照组,差异有统计学意义(P<0.05);试验组定位准确率高于对照组,术后并发症发生率低于对照组,差异有统计学意义(P<0.05);两组气道位置扭曲、管腔扩张、管壁增厚图像占比比较,差异无统计学意义(P>0.05)。结论BAL术前,支气管扩张合并感染患者采用三维立体成像联合仿真内镜技术检查,能更清晰地展示气道情况、提高肺泡灌洗的定位准确率,降低并发症发生风险。Objective To explore the clinical application effect of three-dimensional imaging combined with virtual endoscopy technology in patients with bronchiectasis complicated with infection before bronchoscopic alveolar lavage(BAL).Methods With the selection of 100 patients with bronchiectasis complicated with infection who were scheduled to undergo BAL treatment in the hospital from January to June 2023,they were randomly divided into the control group and the experimental group,with 50 cases in each group,using a random number table method.Before BAL surgery,routine CT examination was used in the control group,and three-dimensional imaging combined with virtual endoscopy technology was used in the experimental group.The airway condition,localization accuracy of bronchoscopy examination,and incidence of postoperative complications were compared between the two groups.Results The proportion of clear images showing the relationship between the airway and surrounding structures in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05);The positioning accuracy of the experimental group was higher than that of the control group,and the incidence of postoperative complications was lower than that of the control group,with statistically significant differences(P<0.05);There was no statistically significant difference in the proportion of images showing airway position distortion,luminal dilation,and wall thickening between the two groups(P>0.05).Conclusion Before BAL surgery,for patients with bronchiectasis combined with infection,the use of three-dimensional imaging combined with virtual endoscopy technology can more clearly display the airway situation,improve the accuracy of alveolar lavage positioning,and reduce the risk of complications.

关 键 词：三维立体成像 仿真内镜技术 支气管扩张合并感染 支气管镜下肺泡灌洗 

分 类 号：R4[医药卫生—临床医学]