三维重建技术联合改良膨胀萎陷法在胸腔镜肺段切除术中的应用

doi:10.20047/j.issn1673-7210.2023.16.22

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Abstract Objective To explore the clinical value of preoperative three-dimensional reconstruction technology combined with intraoperative modified swelling collapse in thoracoscopic segmentectomy. Methods The clinical data of 90 patients who underwent thoracoscopic segmentectomy in the Department of Thoracic Surgery of Jiangyin People’s Hospital from January 2019 to June 2021 were collected. Among them, 45 patients underwent preoperative three-dimensional bronchial vessel reconstruction and were assigned as the observation group, during which modified dilatation and collapse method was adopted. Another 45 patients who underwent direct segmental resection were used as control group, and conventional dilatation and collapse were performed during the operation. The clinical data and therapeutic effect were compared between the two groups. Results The operation time, postoperative extubation time, and postoperative hospital stay in the observation group were shorter than those in the control group, while intraoperative blood loss and total postoperative drainage were less than those in the control group, and the differences were statistically significant (P＜0.05). There was no significant differences in thoracotomy conversion rate and complication rate between the two groups (P＞0.05). All patients successfully completed the operation, one case in the control group was converted to thoracotomy, and patients of both groups were discharged. Conclusion Three-dimensional reconstruction technology combined with modified swelling collapse method can help the surgeon accurately identify the structure of the lung segment and carry out precise segmentectomy safely and effectively.

Key words： Three-dimensional reconstruction Swelling collapse method Thoracoscopic Segmentectomy

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	QIN Zhonghua SHAN Yibo HUANG Xiaofeng YU Guiping▲

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QIN Zhonghua SHAN Yibo HUANG Xiaofeng YU Guiping▲. Application of three-dimensional reconstruction technology combined with modified swelling collapse method in thoracoscopic segmentectomy[J]. 中国医药导报, 2023, 20(16): 103-106.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.16.22 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I16/103

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