AI与Mimics软件行三维重建在胸腔镜下解剖性肺段切除术中应用的回顾性队列研究  

Application of AI versus Mimics software for three-dimensional reconstruction in thoracoscopic anatomic segmentectomy:A retrospective cohort study

作　　者：桑成鹏 朱逸[1] 王亚勤[1] 贡力[1] 闵波 胡海波[1] 唐志贤 SANG Chengpeng;ZHU Yi;WANG Yaqin;GONG Li;MIN Bo;HU Haibo;TANG Zhixian(Department of Thoracic and Cardiac Surgery,The Second People’s Hospital of Huai’an,Huai’an,223001,Jiangsu,P.R.China;Department of Cardiothoracic Surgery,The First Affiliated Hospital of Gannan Medical University,Ganzhou,341000,Jiangxi,P.R.China)

机构地区：[1]淮安市第二人民医院胸心外科,江苏淮安223001 [2]赣南医科大学第一附属医院胸外科,江西赣州341000

出　　处：《中国胸心血管外科临床杂志》2025年第3期313-321,共9页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金项目(81860337);江西省自然科学基金项目(20202ACBL206014,20192BAB205009);国家卫生健康委员会科技发展研究中心项目(2019ZH-07E-003);江西省卫生健康委员会科技计划项目(20201080)。

摘　　要：目的分析人工智能(artificial intelligence,AI)软件和Mimics软件术前三维(three-dimensional,3D)重建在胸腔镜下解剖性肺段切除术中的应用效果。方法回顾性分析2019年10月—2024年3月于淮安市第二人民医院胸外科行胸腔镜肺段切除手术患者的临床资料。术前行AI软件3D重建的患者纳入AI组,行Mimics软件3D重建的患者纳入Mimics组,未行3D重建的患者纳入对照组。比较各组患者的围手术期相关指标。结果共纳入168例患者,其中男73例、女95例,年龄25~81(61.61±10.55)岁。AI组79例,Mimics组53例,对照组36例。三组患者在性别、年龄、吸烟史、结节大小、淋巴结清扫组数、术后病理结果、术后并发症等方面差异均无统计学意义(P>0.05)。三组患者在手术时间(P<0.001)、引流管留置时间(P<0.001)、引流量(P<0.001)、出血量(P<0.001)、术后住院时间(P=0.001)方面差异均有统计学意义。AI组与Mimics组在手术时间、引流管留置时间、出血量、术后住院时间方面差异均无统计学意义(P>0.05)。AI组与对照组在引流量方面差异无统计学意义(P=0.494),而在手术时间、引流管留置时间、出血量、术后住院时间方面差异均有统计学意义(P<0.05)。结论对于需行胸腔镜解剖性肺段切除患者,术前3D重建,依据3D图像行术前规划,相较于仅阅读CT影像,可缩短手术时间、术后引流管留置时间及住院时间,减少术中出血量及术后引流量。采用AI软件行3D重建在手术指导及术后康复方面不劣于Mimics人工3D重建,可减轻临床医师工作量,值得推广。Objective To analyze the application effects of artificial intelligence(AI)software and Mimics software in preoperative three-dimensional(3D)reconstruction for thoracoscopic anatomical pulmonary segmentectomy.Methods A retrospective analysis was conducted on patients who underwent thoracoscopic pulmonary segmentectomy at the Second People's Hospital of Huai'an from October 2019 to March 2024.Patients who underwent AI 3D reconstruction were included in the AI group,those who underwent Mimics 3D reconstruction were included in the Mimics group,and those who did not undergo 3D reconstruction were included in the control group.Perioperative related indicators of each group were compared.Results A total of 168 patients were included,including 73 males and 95 females,aged 25-81(61.61±10.55)years.There were 79 patients in the AI group,53 patients in the Mimics group,and 36 patients in the control group.There were no statistical differences in gender,age,smoking history,nodule size,number of lymph node dissection groups,postoperative pathological results,or postoperative complications among the three groups(P>0.05).There were statistical differences in operation time(P<0.001),extubation time(P<0.001),drainage volume(P<0.001),bleeding volume(P<0.001),and postoperative hospital stay(P=0.001)among the three groups.There were no statistical differences in operation time,extubation time,bleeding volume,or postoperative hospital stay between the AI group and the Mimics group(P>0.05).There was no statistical difference in drainage volume between the AI group and the control group(P=0.494),while there were statistical differences in operation time,drainage tube retention time,bleeding volume,and postoperative hospital stay(P<0.05).Conclusion For patients requiring thoracoscopic anatomical pulmonary segmentectomy,preoperative 3D reconstruction and preoperative planning based on 3D images can shorten the operation time,postoperative extubation time and hospital stay,and reduce intraoperative bleeding and postoperative drainage vo

关 键 词：人工智能 三维重建 肺段切除术 MIMICS 

分 类 号：R47[医药卫生—护理学]