机器人外科学杂志（中英文）2025，Vol.6Issue(4)：649-654,6.DOI:10.12180/j.issn.2096-7721.2025.04.024
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分析
Efficacy and prognostic analysis of 3D-CT imaging technology-assisted thoracoscopic segmentectomy in the treatment of non-small cell lung cancer
摘要
Abstract
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 3D-CT 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.关键词
非小细胞肺癌/胸腔镜手术/肺段切除术/3D-CT影像技术Key words
Non Small Cell Lung Cancer/Thoracoscopic Surgery/Pulmonary Segmentectomy/3D-CT Imaging Technology分类
临床医学引用本文复制引用
唐兴,白国艳,蒋玉涵,沈晶,张清,伍建林..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分析[J].机器人外科学杂志（中英文）,2025,6(4):649-654,6.基金项目
国家自然科学基金(82071911)National Natural Science Foundation of China(82071911) （82071911）
