三维CT支气管血管重建引导下胸腔镜亚节段切除术对肺结节的治疗
Treatment of thoracoscopic subsegmental resection under the guidance of 3D reconstruction of bronchial blood vessels of pulmonary for pulmonary nodule
陆世民 1常江华 1荣君 1张帅 2胡江文2
作者信息
- 1. 南通大学附属南京江北医院胸心外科 南京 210048
- 2. 江苏省肿瘤医院胸外科 南京 210000
- 折叠
摘要
目的:分析三维CT支气管血管重建(3D-CTBA)引导下胸腔镜亚节段切除术对肺结节切除效果.方法:回顾性选取2020年1月至2021年10月在南通大学附属南京江北医院行3D-CTBA引导胸腔镜亚节段切除术的肺结节患者40例作为观察组,另择取同期行3D-CTBA引导胸腔镜肺段切除术的肺结节患者35例作为对照组,观察两组术中、术后情况以及手术并发症发生情况.结果:观察组术中出血量、平均边距宽度、术后引流量、引流管留置时间与对照组比较差异有统计学意义(t=8.644、2.862、10.03、3.277,P＜0.05).观察组和对照组术后胸漏气、肺部感染、咯血的发生数分别为3、1、1和2、1、2,两组并发症发生率分别为12.5%和14.29%,两组比较差异无统计学意义(P＞0.05).结论:3D-CTBA引导下的胸腔镜亚节段切除术能够缩短手术时间和减少术中出血,降低术中气管和血管损伤,提高患者术后恢复.
Abstract
Objective:To analyze the effect of thoracoscopic subsegmental resection under the guidance of three dimensional(3D)computed tomography bronchography and angiography(3D-CTBA)for resection of pulmonary nodules.Methods:A total of 40 patients who underwent 3D-CTBA-guided thoracoscopic subsegmental resection in Nanjing Jiangbei Hospital of Nantong University from January 2020 to October 2021 were selected as the observation group,and other 35 patients who underwent 3D-CTBA-guided thoracoscopic pulmonary segmentectomy were selected as the control group.The intraoperative and postoperative conditions,and the incidence of postoperative complications of the two groups were observed.Results:The differences of amount of intraoperative blood loss,average margin width,postoperative drainage,retention time of drainage tube between observation group and control group were significant(t=8.644,2.862,10.03,3.277,P<0.05),respectively.The numbers of occurring postoperative chest leakage,pulmonary infection and hemoptysis in observation group and control group were respectively"3,1,1"and"2,1,2".The incidences of complications of two groups were respectively 12.5%and 14.29%,without statistical significance between the two groups(P>0.05).Conclusion:3D-CTBA-guided thoracoscopic subsegmental resection can shorten the operation time,and reduce intraoperative blood loss and the injury of tracheas and blood vessels,and improve the postoperative recovery of patients.
关键词
三维CT支气管血管重建(3D-CTBA)/肺结节/亚节段切除术/胸腔镜Key words
Three dimensional(3D)computed tomography bronchography and angiography(3D-CTBA)/Pulmonary nodule/Subsegmental resection/Thoracoscope引用本文复制引用
基金项目
江苏省卫生计生委项目(QNRC2016656)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据