三维CT支气管血管成像在解剖性肺段切除术中的应用研究进展

Research progress of three-dimensional computed tomography bronchography and angiography in anatomical segmental pneumonectomy

随着薄层CT技术的不断发展和普及,越来越多的肺小结节被检出。中国人群老龄化问题日益显著,为保留更多肺功能,解剖性肺段切除术逐渐成为普胸外科的研究热点。由于肺血管解剖变异极多,对手术医生的要求较高,术前三维重建和手术规划显得尤为重要。目前临床上应用各种手段进行三维CT支气管血管成像以辅助解剖性肺段切除术的实施,达到保证切缘、精准切除的目的。但是,各种重建方法各有优劣,人工智能的发展又将带来新的变革。本研究对三维CT支气管血管成像在解剖性肺段切除术中的应用进行综述。

With the development and popularization of thin-layer CT technology,lots of smaller pulmonary nodules have been detected.In order to preserve more lung function under the obvious situation of aging problem of Chinese population,anatomical segmental resection has become a research hot-spot in field of general thoracic surgery.Because of the great variation of pulmonary vascular anatomy,the requirement of surgeons is very high,so three-dimensional reconstruction and operation planning become very important.At present,three-dimensional CT bronchovascular imaging is used in clinical practice to assist the implementation of anatomic segmental resection,so as to ensure the purpose of cutting edge and accurate resection.However,each reconstruction method has its own advantages and disadvantages,and the development of artificial intelligence will bring new changes.In this study,the application of three-dimensional computed tomography bronchography and angiography in anatomical segmental resection of the lung is reviewed.