CT虚拟定位与传统定位在肺癌早期切除术中的应用价值

The Value of CT Virtual Localization and Conventional Localization in Early Resection of Lung Cancer

目的:研究CT虚拟定位与传统定位在肺癌早期切除术中的应用价值,以期弥补传统定位的不足,为相关研究提供借鉴。方法:回顾性选取2021年1月-2023年5月医院治疗的100例肺癌患者作为研究对象,根据基线资料可比性原则,以治疗方式的不同划分为观察组(CT虚拟定位,62例)和对照组(常规CT定位,38例)。比较两组患者定位效果,包括定位成功、精准切除、定位耗时、手术时间、切除时间、住院时间等。比较两组患者的定位相关并发症、术后相关并发症。结果:观察组定位耗时、手术时间、住院时间、切除时间低于对照组,定位成功、精准切除发生率高于对照组,差异显著,具有统计学意义(P<0.05)。观察组肺部出血、穿刺部位疼痛、刺激性咳嗽发生率均低于对照组,并发症事件种类数少于对照组,差异有统计学意义(P<0.05)。观察组皮下气肿、液气胸、肺栓塞、手术后并发症事件少于对照组,差异有统计学意义(P<0.05)。结论:应用CT虚拟定位相比常规CT定位更具优势,可提高定位的准确性,缩短手术时间,减少相关并发症。

Objective:To study the application value of CT virtual positioning and conventional local-ization in early resection of lung cancer,in order to make up for the shortcomings of traditional position-ing,and to provide reference for related research.Methods:100 cases of lung cancer patients treated in the hospital from January 2021 to May 2023 were retrospectively selected as the study subjects,and were divided into observation group(CT virtual positioning,62 cases)and control group(conventional CT posi-tioning,38 cases)according to the principle of comparability of baseline data and the difference of treat-ment modalities.Compare the positioning effects of patients in the two groups,including successful posi-tioning,precise resection,positioning time consumed,operation time,resection time,hospitalisation time,etc.Compare the positioning-related complications and postoperative-related complications of the two groups.Results:The positioning time,operation time,hospitalisation time and resection time of the obser-vation group were lower than those of the control group,and the incidence of successful positioning and precise resection was higher than that of the control group,with statistically significant differences(P<0.05).The incidence of pulmonary haemorrhage,pain at the puncture site and irritating cough in the ob-servation group was lower than that in the control group,and the number of complication events was less than that in the control group in terms of the number of types of complication events,and the difference was statistically significant(P<0.05).Subcutaneous emphysema,fluid pneumothorax,pulmonary embo-lism,and postoperative complication events in the observation group were less than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of CT virtual positioning has more advantages than conventional CT positioning,which can improve the accuracy of po-sitioning,shorten the operation time,and reduce the related complications.