3D-CT影像技術(shù)輔助胸腔鏡肺段切除術(shù)治療非小細胞肺癌的療效及預(yù)后分析

打開文本圖片集

中圖分類號 R734.2 文獻標(biāo)識碼 A 文章編號 2096-7721（2025）04-0649-06

Efficacy and prognostic analysis of 3D-CT imaging technology-assisted thoracoscopic segmentectomy in the treatment of non-small cell lung cancer

TANG Xing1，2， BAI Guoyan3， JIANG Yuhan1，SHEN Jing'， ZHANG Qing'， WU Jianlin' （1.DepartmentofedicalImaging，ZhongshanHospitalAfliatedtoDalianUniversityDalian6oo1，China；2.Deparf RadiologythFstatedHospialofioreedicalUvesityXi'anCina；3.eparmetofLaboatorydici Shaanxi Provincial People's Hospital， Xi'an 71Oo68， China）

AbstractObjectiveToinvestigate theeffcacyand prognosisof3D-CTimaging technology-asistedthoracoscopicsegmentectomy in thetreatment of non-smallcell lung cancer （NSCLC）.Methods： Clinical data of 106 NSCLC patients who were treatedat ZhongshanHospitalAfiliatedtoDlianUniversityfromJulyO2OtoJulyO21wereretrospectivelyanalyzed.Patientsweredivided intothe3D-CTgoup（n=57，3D-CTimaging technology-assistedthoracoscopicsgmentectomy）andtheconventionalgoup（n=49， standardthoracoscopic segmentectomy）basedon diferent treatment methods.Comparisons were maderegarding therapeutic eficacy， surgical and postoperativerecoveryindicators，pulmonaryfunctionparameters，omplications，and progosis （3-yearfollw-up）. Results： The 3D-CT group showed superior therapeutic efcacy compared to the conventional group （ P <0.05）. Significantly reduced intraoperativebloodlos，drainagevolume，operativetime，tuberemovaltime，andlengthofhospitalstaywerefoundinthe3DCT group compared to the conventional group （ P<0 . 0 5 .At15 days after surgery，the two groups both showed decreased maximum voluntaryventlaion，fordvialapcityndiusiocapaciyofteungfoboonoxideomparedtoeopatieleels P < 0.05）.However，these parameters were significantly higher inthe 3D-CTgroupthanthose inthe conventional group（ P <0.05）. The total incidence of complications was lower in the 3D-CT group than that in the conventional group （ P <0.05）. Kaplan-Meier survival analysis after3-yearfolow-uprevealedsignificantlybetersurvivaloutcomesinthe3D-CTgroupthanthatintheconventionalgroup （ P<0 . 0 5 ） L Conclusion：3D-CTimagingtecholog-asistedtoracoscopicsegmentectmycanacievefavorableeficacyintreatingNCitcan effectivelyimprovepumonaryfunctionduepostoperativeoplications，aceleratepatients’reoveryftersurgeryndhance prognosis.

Key WordsNon Small Cell Lung Cancer； Thoracoscopic Surgery； Pulmonary Segmentectomy； 3D-CT Imaging Technology

非小細胞肺癌作為肺癌的主要類型之一，其發(fā)病率和死亡率在全球范圍內(nèi)居高不下[1]。（剩余9013字）