计算机辅助手术系统(Hisense CAS)在小儿漏斗胸NUSS术中的应用

Computer Aided Surgery System (Hisense CAS) Application in NUSS Operation of Infundibular Chest in Children

目的:探讨海信计算机辅助手术系统(Hisense CAS)在小儿漏斗胸NUSS术中的应用及临床意义。方法:收集2019年1月至2023年10月青岛大学医学院附属医院收治的42例不对称漏斗胸患儿的临床资料,按照手术方式的不同将患儿分为CAS手术组(n = 21,应用CAS系统对其胸部CT数据进行三维重建)与常规手术组(n = 21,未应用CAS系统指导手术)。对比分析两组手术效果。结果:两组年龄、性别、术中出血量[(5.5 ± 1.4) ml vs (5.8 ± 1.7) ml]差异无统计学意义(P > 0.05)。CAS手术组与常规手术组手术时间[(44.2 ± 3.3) min vs (52.1 ± 7.3) min, P = 0.01]、手术优良率[(90.48%) vs (76.20%), P = 0.02]、术后并发症发生率[(4.76%) vs (28.57%), P = 0.04]差异均有统计学意义。结论:CAS系统有助于提高小儿外科医生对患儿个体胸壁及心肺解剖的认识,辅助设计NUSS手术个性化方案,可提高手术的准确性、安全性,减少手术时间,降低术后并发症,提高手术满意度,具有较高的临床应用价值。

Objective: To investigate the application and clinical significance of Hisense CAS in NUSS of infun-dibular chest in children. Methods: Clinical data of 42 children with asymmetric infundibular chest admitted to the Affiliated Hospital of Qingdao University Medical College from January 2019 to Oc-tober 2023 were collected. According to different surgical methods, the children were divided into CAS surgery group (n = 21, three-dimensional reconstruction of chest CT data was performed by CAS system) and conventional surgery group (n = 21, the CAS system was not used to guide surgery). The operation effect of the two groups was compared and analyzed. Results: There was no signifi-cant difference in age, gender and intraoperative blood loss [(5.5 ± 1.4) ml vs (5.8 ± 1.7) ml] be-tween the two groups (P > 0.05). Operation time [(44.2 ± 3.3) min vs (52.1 ± 7.3) min, P = 0.01], surgical excellence rate [(90.48%) vs (76.20%), P = 0.02], incidence of postoperative complications [(4.76%) vs (28.57%) between CAS surgery group and conventional surgery group, P = 0.04]. The differences were statistically significant. Conclusion: CAS system is helpful for pediatric surgeons to improve their understanding of the chest wall and cardiopulmonary anatomy of individual children, and assist in the design of NUSS surgical personalized plan, which can improve the accuracy and safety of surgery, reduce the operation time, reduce postoperative complications, and improve the satisfaction of surgery, and has high clinical application value.