肺结节三维重建胸腔镜肺段切除的应用价值

Application of individualized three-dimensional reconstruction simulation surgery of lung nodules in thoracoscopic segmentectomy

目的探讨肺结节患者采取胸腔镜肺段切除治疗时,三维重建模拟的价值。方法选择福州肺科医院2018年6月到2021年6月收治的60例肺结节患者,所有患者均实施胸腔镜肺段切除治疗,依照数字表法进行分组,两组患者均采取肺段切除术治疗,分为对照组(基础措施)、研究组(三维重建模治疗)。对比治疗结果。用SPSS19.0软件展开统计学分析,进行数据处理。结果对照组治疗效果低于研究组(73.33%比96.67%,χ^(2)=4.706,P<0.05);对照组手术时间长于研究组[(115.48±4.39) min比(101.33±2.14) min,t=15.869,P<0.05];对照组术中出血量多于研究组(98.69±12.37) ml比(66.68±10.34) ml,t=10.875,P<0.05];对照组术中清扫淋巴结个数少于研究组[(7.25±1.10)个比(4.22±1.21)个,t=10.149,P<0.05];对照组引流管留置时短于研究组[(3.91±0.15) d比(2.87±0.71) d,t=7.850,P<0.05];对照组术后总引流量多于研究组[(660.48±35.14) ml比(387.44±22.35) ml,t=35.910,P<0.05];对照组术后住院时间长于研究组[(6.39±1.37) d比(5.31±1.02) d,t=3.463,P<0.05]。结论肺结节患者采取胸腔镜肺段切除治疗时,个体化肺结节三维重建模拟手术具有高临床价值。

Objective To explore the value of 3D reconstruction simulation in patients with thoracoscopic resection of pulmonary nodules.Methods Select 60 patients with pulmonary nodules admitted from June 2018 to June 2021.All patients were treated with thoracoscopic pulmonary bectomy and grouped according to the digital table method.Both patients were treated with segbectomy,which was divided into control group(basic measures)and research group(3 D reconstruction model treatment).Compare the treatment results.Expand statistical analysis and conduct data processing with SPSS19.0 software.Results The treatment effect was lower than in the control group[73.33%vs.96.67%,χ^(2)=4.706,P<0.05];The control group operated longer than the study group[(115.48±4.39)min vs.(101.33±2.14)min,t=15.869,P<0.05];More bleeding in the control group than in the study group[(98.69±12.37)ml vs.(66.68±10.34)ml,t=10.875,P<0.05];The number of intraoperative sweeping lymph nodes in the control group was less than that in the study group(7.25±1.10 vs.4.22±1.21,t=10.149,P<0.05);The drainage tube retention time of the control group was shorter than the study group[(3.91±0.15)d vs.(2.87±0.71)d,t=7.850,P<0.05];The total postoperative diversion flow after the control group was greater than that in the study group[(660.48±35.14)ml vs.(387.44±22.35)ml,t=35.910,P<0.05];The control group was longer than the study group(6.39±1.37)d vs.(5.31±1.02)d,t=3.463,P<0.05].Conclusion In patients with pulmonary nodules,the 3-dimensional reconstruction simulation operation of individualized pulmonary nodules has high clinical value.