肺内血管三维重建技术在肺段切除术治疗早期肺癌中的临床应用  

Clinical Application of Three-dimensional Reconstruction Technology of Pulmonary Blood Vessels in the Treatment of Early Lung Cancer after Segmental Resection of the Lung

作　　者：韩舒[1] 陈殿森[1] 贾群玲[1] HAN Shu;CHEN Dian-sen;JIA Qun-ling(Department of Imaging,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471003,Henan Province,China)

机构地区：[1]河南科技大学第一附属医院影像科,河南洛阳471003

出　　处：《中国CT和MRI杂志》2024年第8期29-31,共3页Chinese Journal of CT and MRI

基　　金：吴阶平医学基金会临床科研专项资助基金(320.6750.2020-08-13)。

摘　　要：目的探讨肺内支气管血管三维重建技术在肺段切除术治疗早期肺癌中的临床应用效果。方法现针对2021年3月-2023年3月期间在我院行肺段切除术的早期肺癌患者治疗情况进行回顾性分析,共计纳入64例。其中采取常规胸腔镜解剖性肺段切除术的患者有32例,将其设定为对照组,采肺内支气管血管三维重建下的胸腔镜解剖性肺段切除术的患者有32例,将其设定为观察组,对其治疗情况进行对比和分析。结果(1)在手术时间上,以观察组时间更短,在术中出血量上,以观察组更少,和对照组相比有明显差异(P<0.05);(2)两组患者淋巴结清扫个数和优势肺段切除例数水平相当(P>0.05);(3)在术后胸液引流量上,以观察组更少(P<0.05),在胸管留置时间和术后住院时间上,以观察组时间更短(P<0.05),在并发生发生率上,以观察组更低(P<0.05)。结论肺内血管三维重建技术在治疗早期肺癌中获得了较好的干预效果,其可有效缩短手术时间,减少术中出血量,降低术后并发症,临床应用效果较好。Objective To investigate the clinical effect of intrapulmonary bronchovascular three-dimensional reconstruction in segmentectomy in the treatment of early lung cancer.Methods The treatment of early lung cancer patients who underwent segmental pneumonectomy in our hospital from March 2021 to March 2023 were analyzed retrospectively.A total of 64 patients were included.Among them,32 patients were treated with routine thoracoscopic anatomical segmental pneumonectomy,which were set as the control group,and 32 patients with thoracoscopic anatomical segmental pneumonectomy under three-dimensional reconstruction of intrapulmonary bronchial vessels were selected as the observation group.the intraoperative and postoperative related indexes of the two groups were compared.Results The operation time of the observation group was shorter than that of the control group(P<0.05),and the amount of intraoperative blood loss was less than that of the control group(P<0.05).The number of lymph node dissection and the number of dominant pulmonary segment resection in the two groups were similar(P>0.05).The postoperative pleural effusion drainage in the observation group was less than that in the control group(P<0.05).The time of chest tube indwelling and postoperative hospitalization in the observation group were shorter than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion Three-dimensional reconstruction of pulmonary vessels has a good intervention effect in the treatment of early lung cancer,which can effectively shorten the operation time,reduce the amount of intraoperative bleeding and reduce postoperative complications.

关 键 词：三维重建 肺段切除术 早期肺癌 

分 类 号：R445[医药卫生—影像医学与核医学]