3D数字呈像模拟手术技术在胸腔镜下肺叶切除术中的应用

Application of three-dimensional simulation technique in the thoracoscopic lobectomy

目的分析3D数字呈像模拟手术技术在胸腔镜下肺叶切除术中的应用效果。方法收集2015年6月至2018年1月本院因肺部肿物应用单操作孔胸腔镜行左肺下叶切除124例患者的临床资料,其中男64例、女60例,年龄42~83岁。术前将患者分为试验组59例(术前行3D数字呈像模拟手术),对照组65例(不予行3D数字呈像模拟手术)。比较两组临床效果。结果全部患者无住院期间死亡,均痊愈。试验组在手术时间、术中失血量、术后住院时间等方面明显优于对照组(P<0.05),而术后引流量、引流管留置时间,止痛药使用天数等方面两组差异无统计学意义(P>0.05)。结论 3D数字呈像模拟手术技术在胸腔镜下肺叶切除术中治疗效果良好,同时手术时间短、创伤小、恢复快,对肺癌术前拟定手术方案具有指导作用并值得推广及应用。

Objective To analyze the effect of 3D simulation technique in thoracoscopic lobectomy. Methods From June 2015 to January 2018, 124 patients with left lower lobe resection underwent thoracoscopy with single-port thoracoscopic surgery, including 64 males and 60 females, aged 42–83 years. They were randomly divided into two groups including an experimental group(preoperatively given 3D simulation surgery in 59 patients) and a control group(preoperatively not given 3D simulation surgery in 65 patients). The clinical effect between the two groups was compared. Results All patients recovered without any death during hospitalization. In the experimental group, the operation time, intraoperative blood loss and postoperative hospital stay were significantly less than those in the control group(P<0.05). There was no significant difference in postoperative drainage volume, and duration of drainage tube retention and analgesic drug usage between the two groups(P>0.05). Conclusion 3D simulation technique for thoracoscopic lobectomy has advantage in short operation time, minor trauma and quick recovery. It has a guiding role in the preoperative planning of lung cancer surgery and is worthy of popularization and application.