生命科学仪器2023，Vol.21Issue(6)：123-126,4.DOI:10.11967/2023211228
多层CT三维重建虚拟手术规划在胸腔镜亚肺叶切除术中的应用价值
Application value of multi-slice CT 3D reconstruction virtual surgical planning in thoracoscopic sublobectomy
钟世虎 1干昌平 2凌生林 1茹小虎1
作者信息
- 1. 宜宾市第一人民医院胸心外科,四川 宜宾 644000
- 2. 四川大学华西医院心血管外科,四川成都 610000
- 折叠
摘要
Abstract
Objective:This paper analyzes the value of 3D multi-slice CT reconstruction virtual surgical planning in thora-coscopic sublobectomy.Methods:A retrospective analysis was performed on 6 patients with lung cancer who underwent thoracoscopic sublobectomy in our hospital.The patients were divided into reconstruction group(96 cases)and non-re-construction group(96 cases)according to whether the patients received multi-slice CT three-dimensional reconstruc-tion before surgery.The surgical condition,lung function,postoperative complications and follow-up results were ana-lyzed in the two groups.Results:Not only in terms of surgical extubation time,but also in terms of hospital stay,it is rel-atively short.(P<0.05),and the intraoperative blood loss,drainage volume at 24h after surgery and total drainage vol-ume were all less than those in non-reconstruction group(P<0.05),the number of groups and the number of lymph node dissection were more than those in non-reconstruction group(P<0.05).The incidence rates of surgical complica-tions in reconstruction group were lower than those in non-reconstruction group(P<0.05).Within 3 months after sur-gery,the percentage of FEV1 in the predicted value(FEVl%),forced vital capacity as a percentage of expected value(FVC%)and maximal voluntary ventilation(MVV)were first decreased and then increased(P<0.05),and the lung function indexes at 2 weeks after surgery in reconstruction group were higher than those in non-reconstruction group(P<0.05).The average follow-up time was(14.86±2.39)months in the two groups.During follow-up,no patients died and no patients had tumor recurrence or distant metastasis.Conclusion:3D CT reconstruction can guide thoracoscopic sublobectomy to achieve accurate lesion localization and personalized surgical route planning before surgery,.reduce surgi-cal injury,be safe and effective,and contribute to the early recovery of postoperative pulmonary function.关键词
CT三维重建/胸腔镜亚肺叶切除术/指导价值Key words
CT three-dimensional reconstruction/Thoracoscopic sublobectomy/Guiding value分类
医药卫生引用本文复制引用
钟世虎,干昌平,凌生林,茹小虎..多层CT三维重建虚拟手术规划在胸腔镜亚肺叶切除术中的应用价值[J].生命科学仪器,2023,21(6):123-126,4.
