转化医学杂志2024，Vol.13Issue(11)：1807-1810,4.DOI:10.3639/j.issn.2095-3097.2024.11.001
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
摘要
Abstract
Objective To evaluate the application effect of chest plain scan and enhanced CT-assisted 3D reconstruc-tion 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CTKey words
3D reconstruction/Pulmonary segmentectomy/Non-small cell lung cancer/Chest CT分类
医药卫生引用本文复制引用
吴迅,刘思杰,李凤卫,辛兴,陈应泰..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[J].转化医学杂志,2024,13(11):1807-1810,4.基金项目
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) （WA2021RW18）
