胸腔镜肺切除术后吻合器周围组织包裹的CT研究

CT Study of Tissue Surrounding Stapler after Thoracoscopic Pneumonectomy

目的认识胸腔镜肺叶切除术后吻合器周围出现的组织包裹,鉴别肺癌复发转移。方法前瞻性选取2016年10月至2017年10月本院胸腔镜肺切除手术病例43例,术后一个月之内行胸部CT扫描,观察吻合器周围是否出现组织包裹。对出现包裹的病例,术后3月、6月分别行CT复查,观察包裹组织大小、形态,位置,以及包裹组织的吸收情况。结果术后吻合器周围出现组织包裹14例,占32.6%。10例吻合器位于包裹组织内部,4例位于包裹组织边缘。14例均有不同程度吸收,其中9例完全吸收;5例部分吸收。结论胸腔镜肺切除术后,了解吻合器周围包裹组织出现的概率,认识包裹组织的特征,随访包裹组织的吸收情况,有助于与肺癌复发转移的鉴别。

Objective To understand the tegumentary tissues around the anastomats after the Lobectomy surgeries by thoracoscope and to differentiate with recurrences and metastases of lung cancers.Methods A total of 43 patients who accepted Lobectomy surgeries in our hospital from October,2016 to October,2017 were chosen,and accepted CT scans within one month after Lobectomy surgeries.Observe if there were tegumentary tissues appearing around the anastomats.The patients with tegumentary tissues accepted CT scans in the 3 rd month and the 6 th month respectively after the Lobectomy surgeries.Observe the sizes,forms,positions of the tegumentary tissues,and the absorption of them.Results There were 14 cases appearing tegumentary tissues,and the percentage was 32.6%.The anastomats were in the tegumentary tissues in 10 cases,and at the edge of tegumentary tissues in 4 cases.The tegumentary tissues in the whole 14 cases were absorbed in different degrees.Among them,9 cases were absorbed completely,and five cases were absorbed partially.Conclusion To understand the occurrence rate of tegumentary tissues after the Lobectomy surgeries by thoracoscope,the features of them,and to observe the absorption situation,was helpful to differentiate with recurrences and metastases of lung cancers.