胸部平扫及增强CT三维重建在早期NSCLC解剖性肺段切除术中的应用研究  

Application Research of Chest Plain Scan and Enhanced CT Assisted 3D Reconstruction in Early NSCLC Anatomical Segmentectomy

作　　者：吴迅[1] 刘思杰[1] 李凤卫[1] 辛兴[1] 陈应泰[1] WU Xun;LIU Sijie;LI Fengwei;XIN Xing;CHEN Yingtai(Department of Thoracic Surgery,Beijing Aerospace General Hospital,Beijing 100076,China)

机构地区：[1]北京航天总医院胸外科,北京100076

出　　处：《转化医学杂志》2024年第11期1807-1810,共4页Translational Medicine Journal

基　　金：国家卫健委医药卫生科技发展研究中心微创手术临床应用规范化研究项目(WA2021RW18)。

摘　　要：目的评价胸部平扫及增强CT三维重建在早期NSCLC解剖性肺段切除术中的应用效果。方法选取2021年3月至2023年3月在北京航天总医院行胸腔镜解剖性肺段切除术的120例早期NSCLC患者为研究对象,将其分为对照组(n=47)、平扫重建组(n=23)和增强重建组(n=50)。比较3组手术时间、术中出血量、引流管置管时间、术后引流量、术后住院时间、淋巴结清扫数、切缘宽度及不良反应。结果平扫重建组及增强重建组的手术时间、术中出血量、置管时间、术后引流量、术后住院时间、淋巴结清扫数、切缘宽度≥20 mm比例、不良反应发生率等指标均优于对照组,差异均具有统计学意义(P均<0.01)。与增强重建组比较,平扫重建组的手术时间更长,差异具有统计学意义(P<0.01)。结论胸部平扫及增强CT三维重建技术均可辅助解剖性肺段切除,精确定位病灶,降低手术难度;减少手术时间和术中出血量,降低不良反应发生率,提高手术安全性;同时,可缩短置管时间、术后引流量和住院时间,有利于患者快速恢复。Objective To evaluate the application effect of chest plain scan and enhanced CT-assisted 3D reconstruction in early-stage non-small cell lung cancer(NSCLC)anatomical segmentectomy.Methods One hundred and twenty early-stage NSCLC patients who underwent thoracoscopic anatomical segmentectomy at the Aerospace General Hospital from March 2021 to March 2023 were enrolled.They were divided into the control group(n=47),plain scan reconstruction group(n=23),and enhanced reconstruction group(n=50).The operation time,intraoperative bleeding,drainage tube retention time,postoperative drainage volume,postoperative hospital stay,number of lymph nodes dissected,margin width,and incidence of adverse reactions were compared among the three groups.Results The operation time,intraoperative bleeding,drainage tube retention time,postoperative drainage volume,postoperative hospital stay,number of lymph nodes dissected,the proportion of resection margin width≥20mm,and the incidence of adverse reactions in the plain scan and enhanced reconstruction groups were significantly better than those in the control group(P<0.01).Compared with the enhanced reconstruction group,the plain scan reconstruction group had a longer operation time(P<0.01).Conclusion Both chest plain scan and enhanced CT 3D reconstruction techniques can assist in anatomical segmentectomy,accurately locate lesions,reduce surgical difficulty,and decrease operation time,intraoperative bleeding,and adverse reactions,thereby improving surgical safety.At the same time,these techniques can shorten drainage tube retention time,postoperative drainage volume,and hospitalization time,facilitating a quicker recovery for patients.

关 键 词：三维重建 肺段切除术 非小细胞肺癌 胸部CT 

分 类 号：R734.2[医药卫生—肿瘤]