三维重建技术联合改良膨胀萎陷法在胸腔镜肺段切除术中的应用

doi:10.20047/j.issn1673-7210.2023.16.22

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摘要目的探讨术前对肺部解剖结构进行支气管血管三维重建技术联合改良膨胀萎陷法在胸腔镜肺段切除术中的临床应用价值。方法收集2019年1月至2021年6月江苏省江阴市人民医院胸心外科90例进行胸腔镜肺段切除术患者的临床资料，其中45例患者术前行支气管血管三维重建，将其设为观察组，术中采取改良膨胀萎陷法；另外45例直接行肺段切除术的患者作为对照组，术中采取常规膨胀萎陷法。比较两组临床资料及治疗效果。结果观察组手术时间、术后置管时间及术后住院时间均短于对照组，术中出血量及引流量均少于对照组，差异有统计学意义（P＜0.05）。两组中转开胸率、并发症发生率比较，差异无统计学意义（P＞0.05）。所有患者均顺利完成手术，对照组有1例中转开胸，两组患者均恢复出院。结论三维重建技术联合改良膨胀萎陷法能够帮助术者清晰、准确地辨别肺段结构，安全、有效地开展精准肺段切除术。

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	秦中华　　单一波　　黄晓锋　　虞桂平▲

关键词 ：三维重建, 膨胀萎陷法, 胸腔镜, 肺段切除术

Abstract：Objective To explore the clinical value of preoperative three-dimensional reconstruction technology combined with intraoperative modified swelling collapse in thoracoscopic segmentectomy. Methods The clinical data of 90 patients who underwent thoracoscopic segmentectomy in the Department of Thoracic Surgery of Jiangyin People’s Hospital from January 2019 to June 2021 were collected. Among them, 45 patients underwent preoperative three-dimensional bronchial vessel reconstruction and were assigned as the observation group, during which modified dilatation and collapse method was adopted. Another 45 patients who underwent direct segmental resection were used as control group, and conventional dilatation and collapse were performed during the operation. The clinical data and therapeutic effect were compared between the two groups. Results The operation time, postoperative extubation time, and postoperative hospital stay in the observation group were shorter than those in the control group, while intraoperative blood loss and total postoperative drainage were less than those in the control group, and the differences were statistically significant (P＜0.05). There was no significant differences in thoracotomy conversion rate and complication rate between the two groups (P＞0.05). All patients successfully completed the operation, one case in the control group was converted to thoracotomy, and patients of both groups were discharged. Conclusion Three-dimensional reconstruction technology combined with modified swelling collapse method can help the surgeon accurately identify the structure of the lung segment and carry out precise segmentectomy safely and effectively.

Key words： Three-dimensional reconstruction Swelling collapse method Thoracoscopic Segmentectomy

基金资助:江苏大学临床医学科技发展基金项目（JLY 2021078）；
江苏省卫生健康委员会科研项目（M2020076）；
江苏省无锡市“双百”中青年医疗卫生拔尖人才项目（BJ2020104）。

通讯作者: ▲通讯作者

引用本文:

秦中华　　单一波　　黄晓锋　　虞桂平▲. 三维重建技术联合改良膨胀萎陷法在胸腔镜肺段切除术中的应用[J]. 中国医药导报, 2023, 20(16): 103-106.
QIN Zhonghua SHAN Yibo HUANG Xiaofeng YU Guiping▲. Application of three-dimensional reconstruction technology combined with modified swelling collapse method in thoracoscopic segmentectomy. 中国医药导报, 2023, 20(16): 103-106.

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