【摘要】 目的探讨三维计算机断层扫描支气管血管成像(3D-CTBA)引导下联合三维电视辅助胸部外科技术(3D-VATS)行精准肺段切除术治疗早期非小细胞肺癌(NSCLC)患者的临床疗效。方法选取2017年1月—2019年5月于泰州市人民医院采用3D-CTBA联合3D-VATS技术进行精准肺段切除术的早期NSCLC患者,共46例,收集其临床资料进行回顾性分析。结果 46例患者无中转开胸手术,均在全腔镜下顺利完成手术。手术时间为(200.1±74.2)min,术中出血量为(60.7±38.7)ml,术中淋巴结清扫数量为(9.7±3.1)个。术后胸腔引流量为(190.5±70.8)ml,引流管留置时间为(5.2±1.7)d,平均住院时间为(13.7±3.5)d。术后病理检查,微浸润性腺癌38例,原位癌8例。术后随访8个月,无转移及复发病例。结论早期NSCLC患者采用3D-CTBA和3D-VATS技术联合的精准肺段切除术治疗,安全有效,值得临床推广。更多还原

【Abstract】 Objective To explore the clinical effectiveness of three-dimensional computed tomography bronchography and angiography(3 D-CTBA)combined with three-dimensional video-assisted thoracic surgery(3 DVATS)in precise pulmonary segmentectomy for the treatment of patients with early non-small cell lung cancer(NSCLC).Methods A total of 46 early NSCLC patients who underwent precise pulmonary segmentectomy under the guidance of 3 D-CTBA combined with 3 D-VATS from January 2017 to May 2019 were enrolled and their clinical data were retrospectively analyzed.Results All the patients successfully performed surgery without conversion to thoracotomy.The operation time was(200.1±74.2)min,and the perioperative blood loss was(60.7±38.7)ml.The number of lymph node dissection was(9.7±3.1)and the postoperative thoracic drainage was(190.5±70.8)ml.The retention time of chest tube was(5.2±1.7)days,and the average hospitalization time was(13.7±3.5)day.According to postoperative pathological results,there were 38 cases with minimally invasive adenocarcinoma and 8 cases with adenocarcinoma in-situ.The patients were followed-up for 8 months and no metastasis or relapse was reported.Conclusions The combined use of 3 D-CTBA and 3 D-VATS in precise pulmonary segmentectomy is safe and effective for the treatment of patients with early NSCLC.更多还原