中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

3D 数字呈像模拟手术技术在胸腔镜下肺叶切除术中的应用

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目的 分析 3D 数字呈像模拟手术技术在胸腔镜下肺叶切除术中的应用效果。 方法 收集 2015 年 6 月至 2018 年 1 月本院因肺部肿物应用单操作孔胸腔镜法行左肺下叶切除患者 124 例,其中男 64 例、女 60 例,年龄 42~83 岁;术前随机将患者分为试验组(术前给予行 3D 数字呈像模拟手术组)59 例,对照组(不予行 3D 数字呈像模拟手术)65 例。对比分析各组手术时间、术中失血量、术后引流量、术后镇痛药物使用时间、术后住院时间等资料。 结果 全部患者无住院期间死亡,均痊愈。试验组在手术时间、术中失血量、术后住院时间等方面明显优于对照组(P<0.05),而在术后引流量、引流管留置时间,止痛药使用天数等方面两组差异无统计学意义(P>0.05)。 结论 3D 数字呈像模拟手术技术在胸腔镜下肺叶切除治疗效果良好同时手术时间短、创伤小、恢复快,对肺癌术前拟定手术方案具有指导作用并值得推广及应用。

Objective To analyze the application effect of 3D simulation technique in thoracoscopic lobectomy. Methods From June 2015 to January 2018, 124 patients with left lower lobe resection underwent thoracoscopic surgery with single-port thoracoscopic surgery, including 64 males and 60 females, aged 42–83 years old. They were randomly divided into two groups. There were 59 patients in the experimental group (preoperatively given 3D simulation surgery), and 65 patients in the control group (preoperatively not given 3D simulation surgery). The operation time, intraoperative blood loss, postoperative drainage, analgesic drug use time and postoperative hospital stay were compared and analyzed. Results All patients were hospitalized without any death and all recovered. In the experimental group, the operation time, intraoperative blood loss and postoperative hospital stay were significantly less than those in the control group (P<0.05). There was no significant difference in postoperative drainage volume, drainage tube retention time and analgesic drug usage days between the two groups (P>0.05). Conclusion 3D simulation technique for thoracoscopic lobectomy has the advantages in short operation time, less trauma and quick recovery. It has a guiding role in the preoperative planning of lung cancer surgery and is worthy of popularization and application.

关键词: 3D 数字呈像; 模拟手术; 胸腔镜; 肺叶切除术

Key words: 3D digital image; simulated surgery; thoracoscopy; lung lobectomy

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