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作 者:唐兴 白国艳 蒋玉涵 沈晶[1] 张清[1] 伍建林[1] TANG Xing;BAI Guoyan;JIANG Yuhan;SHEN Jing;ZHANG Qing;WU Jianlin(Department of Medical Imaging,Zhongshan Hospital Affiliated to Dalian University,Dalian 116001,China;Department of Radiology,the First Affiliated Hospital of Air Force Medical University,Xi’an 710032,China;Department of Laboratory Medicine,Shaanxi Provincial People’s Hospital,Xi’an 710068,China)
机构地区:[1]大连大学附属中山医院医学影像科,辽宁大连116001 [2]空军军医大学第一附属医院放射科,陕西西安710032 [3]陕西省人民医院检验科,陕西西安710068
出 处:《机器人外科学杂志(中英文)》2025年第4期649-654,共6页Chinese Journal of Robotic Surgery
基 金:国家自然科学基金(82071911)。
摘 要:目的:探究3D-CT影像技术辅助胸腔镜肺段切除术治疗非小细胞肺癌的疗效及预后。方法:回顾性分析2020年7月—2021年7月大连大学附属中山医院收治的106例非小细胞肺癌患者的临床资料,按治疗方法分为3D-CT影像技术辅助组(57例,实施3D-CT影像技术辅助胸腔镜肺段切除术)和常规组(49例,实施胸腔镜肺段切除术)。比较两组疗效、手术指标与术后恢复指标、肺功能指标、并发症及预后(随访3年)的差异。结果:3D-CT影像技术辅助组疗效优于常规组(P<0.05)。与常规组比较,3D-CT影像技术辅助组术中出血量、引流量及手术、拔管、住院时间均更低(P<0.05)。相较于术前,两组术后15 d每分钟最大通气量、用力肺活量、肺一氧化碳弥散量均降低(P<0.05),但与常规组比较,3D-CT影像技术辅助组均更高(P<0.05)。3D-CT影像技术辅助组术后并发症总发生率低于常规组(P<0.05)。所有患者经随访3年后,KM生存分析显示,3D-CT影像技术辅助组生存状况显著优于常规组(P<0.05)。结论:3D-CT影像技术辅助胸腔镜肺段切除术治疗非小细胞肺癌具有较好的疗效,可有效提高肺功能,减少术后并发症发生率,促进术后恢复,改善预后。Objective:To investigate the efficacy and prognosis of 3D-CT imaging technology-assisted thoracoscopic segmentectomy in the treatment of non-small cell lung cancer(NSCLC).Methods:Clinical data of 106 NSCLC patients who were treated at Zhongshan Hospital Affiliated to Dalian University from July 2020 to July 2021 were retrospectively analyzed.Patients were divided into the 3D-CT group(n=57,3D-CT imaging technology-assisted thoracoscopic segmentectomy)and the conventional group(n=49,standard thoracoscopic segmentectomy)based on different treatment methods.Comparisons were made regarding therapeutic efficacy,surgical and postoperative recovery indicators,pulmonary function parameters,complications,and prognosis(3-year follow-up).Results:The 3D-CT group showed superior therapeutic efficacy compared to the conventional group(P<0.05).Significantly reduced intraoperative blood loss,drainage volume,operative time,tube removal time,and length of hospital stay were found in the 3DCT group compared to the conventional group(P<0.05).At 15 days after surgery,the two groups both showed decreased maximum voluntary ventilation,forced vital capacity,and diffusion capacity of the lung for carbon monoxide compared to preoperative levels(P<0.05).However,these parameters were significantly higher in the 3D-CTgroup than those in the conventional group(P<0.05).The total incidence of complications was lower in the 3D-CT group than that in the conventional group(P<0.05).Kaplan-Meier survival analysis after 3-year follow-up revealed significantly better survival outcomes in the 3D-CT group than that in the conventional group(P<0.05).Conclusion:3D-CT imaging technology-assisted thoracoscopic segmentectomy can achieve favorable efficacy in treating NSCLC,it can effectively improve pulmonary function,reduce postoperative complications,accelerate patients’recovery after surgery,and enhance prognosis.
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