首页|肺腺癌患者单孔胸腔镜肺段切除术中IQQA-3D图像分析系统指导下荧光反染技术的应用价值

肺腺癌患者单孔胸腔镜肺段切除术中IQQA-3D图像分析系统指导下荧光反染技术的应用价值

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目的 探究肺腺癌患者单孔胸腔镜肺段切除术中应用三维智能交互式定性定量分析(IQQA-3D)图像分析系统指导下荧光反染技术的应用价值.方法 选取96 例肺腺癌单孔胸腔镜切除术患者,根据实际操作技术的不同将上述研究对象划分为观察组(n =54)、对照组(n =42),对照组患者接受传统单孔胸腔镜肺段切除术治疗,观察组患者接受IQQA-3D图像分析系统指导的荧光反染技术单孔胸腔镜肺段切除术治疗.记录两组手术持续时长、术中出血量、胸管持续引流时间、术后住院时间、手术切缘宽度、交界线识别率、交界线呈现时间、术后不良事件发生率,并进行比较.结果 观察组患者的手术时间短于对照组;术中出血量显著少于对照组,差异有统计学意义(P<0.05),两组胸管持续引流时间以及术后住院时间比较差异无统计学意义(P>0.05);另外,两组手术切缘宽度比较差异无统计学意义(P>0.05);然而观察组的交界线识别率显著高于对照组,交界线呈现时间显著短于对照组,差异有统计学意义(P<0.05);观察组患者术后不良事件发生率显著低于对照组,差异有统计学意义(P<0.05).结论 肺腺癌患者单孔胸腔镜肺段切除术应用IQQA-3D图像分析系统指导下的荧光反染技术,能够有效缩短手术时间、降低术中出血量、提高交界线识别率且降低识别时间,同时降低不良事件发生率,具有较高的应用价值.
Application Value of Fluorescent Reverse Staining Technique Guided by IQQA-3D Image Analysis System in Single-port Thoracoscopic Segmental Resection of Lung Adenocarci-noma Patients
Objective To explore the application value of fluorescence reverse staining technique under the guidance of the three-dimensional intelligent interactive Qualitative and quantitative analysis(IQQA-3D)image analysis system in the single-hole thoracoscopic segmentectomy of lung gland patients.Methods A total of 96 patients with lung adenocarcinoma underwent single-port thoracoscopic segmentectomy were selected.According to different actual operation techniques,they were divided into the observation group(n = 54,single-port thoracoscopic segmentectom with fluorescent reverse-staining under the guidance of IQQA-3D image analysis system)and the control group(n =42,traditional single-port thoracoscopic segmentectomy).The opera-tion time,intraoperative blood loss,continuous drainage time of chest tube,postoperative hospitalization time,surgical margin width,identification rate and appearance time of boundary line,and incidence of postoperative adverse events in the 2 groups were recorded and compared.Results The operation time in the observation group was shorter than that in the control group,and intraoperative blood loss was significantly less than that in the control group(P<0.05).There was no significant difference in the duration of chest tube drainage and postoperative hospital stay between the 2 groups(P>0.05).In addition,there was no signifi-cant difference in surgical margin width between the 2 groups(P>0.05).The identification rate of boundary line in the observa-tion group was significantly higher than that in the control group,and appearance time of boundary line was significantly shorter than that in the control group(P<0.05).The incidence of postoperative adverse events in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The application of fluorescent reverse-staining under the guidance of IQQA-3D image analysis system in single-port thoracoscopic segmentectomy for patients with lung adenocarcinoma can effec-tively shorten operation time,reduce intraoperative blood loss,improve identification rate of boundary line,shorten identification time and reduce the incidence of adverse events.

Lung adenocarcinomaSingle-port thoracoscopic segmentectomyFluorescent reverse-stainingIQQA-3D im-age analysis system

马银龙、陈占军、杜容宇、张玉良

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461000 河南省许昌市中心医院

肺腺癌 单孔胸腔镜肺段切除术 荧光反染 IQQA-3D图像分析系统

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(4)
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