3D重建技术在早期肺癌外科的临床应用

Clinical Application of 3D Reconstruction Technology in Early Lung Cancer Surgery

目的研究早期肺癌外科3D重建技术的临床应用。方法选取2020年2月至2023年2月本院收治的早期肺癌患者100例,依据外科方法分为3D重建技术切除组、常规腔镜肺段切除组两组,各50例。统计分析两组围手术期指标、血清炎性因子水平、肺功能、血常规指标、血清学营养指标、疼痛程度、心理状态、生活质量、术后并发症发生情况。结果3D重建技术切除组患者的胸管留置时间、卧床时间、排气时间、排便时间、抗生素应用时间、住院时间短于常规腔镜肺段切除组(P<0.05)。3D重建技术切除组患者的血清IL-6、IL-8、TNF-α水平、嗜中性粒细胞百分比、淋巴细胞百分比、VAS评分、HADS评分均低于常规腔镜肺段切除组(P<0.05),FEV_(1)、FEV_(1)%、FVC、PEF、前白蛋白、白蛋白、血红蛋白水平、SF-36评分均高于常规腔镜肺段切除组(P<0.05)。3D重建技术切除组和常规腔镜肺段切除组患者的术后并发症发生率24.00%(12/50)、30.00%(15/50)之间的差异无统计学意义(χ^(2)=0.457,P>0.05)。结论早期肺癌外科3D重建技术切除的临床应用效果较常规腔镜肺段切除好。

Objective To study the clinical application of 3D reconstruction technology in early lung cancer surgery.Methods A retrospective study was conducted on 100 patients with early lung cancer in our hospital from February 2020 to February 2023.They were divided into two groups based on surgical methods:the 3D reconstruction technique resection group and the conventional endoscopic lung segment resection group,with 50 patients in each group.The perioperative indicators,serum inflammatory factor levels,lung functions,blood routine indicators,serological nutritional indicators,pain levels,psychological status,quality of life,and postoperative complications of the two groups were statistically analyzed.Results The chest tube retention time,bed rest time,exhaust time,defecation time,antibiotic application time,and hospitalization time of the 3D reconstruction technology resection group were shorter than those in the conventional endoscopic pulmonary lobectomy group(P<0.05).The serum IL-6,IL-8,and TNF-αlevels,neutrophil percentage,lymphocyte percentage,VAS score,and HADS score in the 3D reconstruction technology resection group were lower than those in the conventional endoscopic lung segment resection group(P<0.05),while the FEV_(1),FEV_(1)%,FVC,PEF,prealbumin,albumin,hemoglobin levels,and SF-36 scores were higher than those in the conventional endoscopic lung segment resection group(P<0.05).The difference in postoperative complication rates between the 3D reconstruction technique resection group and the conventional endoscopic lung segment resection group was not significant between 24.00%(12/50)and 30.00%(15/50),respectively(χ^(2)=0.457,P>0.05).Conclusion The clinical application effect of early lung cancer surgical 3D reconstruction technology resection is better than that of conventional endoscopic lobectomy.