中国数字医学
中國數字醫學
중국수자의학
CHINA DIGITAL MEDICINE
2013年
7期
87-89,92
,共4页
董庆%崔键%辛衍忠%赵桂彬%曹守强%张凯%韩敬泉%闫宇博%刘成%张翔宇%李吉尧
董慶%崔鍵%辛衍忠%趙桂彬%曹守彊%張凱%韓敬泉%閆宇博%劉成%張翔宇%李吉堯
동경%최건%신연충%조계빈%조수강%장개%한경천%염우박%류성%장상우%리길요
数字医学技术%电视胸腔镜手术%非小细胞肺癌%3D多排螺旋计算机体层扫描%虚拟现实
數字醫學技術%電視胸腔鏡手術%非小細胞肺癌%3D多排螺鏇計算機體層掃描%虛擬現實
수자의학기술%전시흉강경수술%비소세포폐암%3D다배라선계산궤체층소묘%허의현실
digital medical technology%video-assisted thoracoscopic surgery%non-small cell lung cancer%Three-Dimensional multidetector computed tomography%virtual reality
目的：探讨数字医学技术在诊断和治疗非小细胞肺癌中的价值。方法：2011年1月-2012年12月收治的经320排螺旋CT扫描，术前三维重建、术中导航的40例非小细胞肺癌（NSCLC）患者，经电视胸腔镜应用内镜缝合切割器切除病灶，术中快速冰冻切片明确诊断，行肺段切除术，肺叶切除术。结果：术中证实95%以上的动脉可被CT发现。手术时间(45.5±22.1) min，术中出血量(50.2±40.2) ml。切除淋巴结(6.6±4.7)枚。无术中死亡。术后病理：鳞癌15例，腺癌25例；病理分期：T1aN0M08例，T1aN1M06例，T1bN0M04例，T1bN1M06例，T2aN0M04例，T2aN1M012例。术后肺部感染6例，肺不张4例，经抗炎治疗或负压吸引治愈；无其他严重并发症。结论：数字医学技术有助于非小细胞肺癌的诊断和治疗，从而降低手术风险，特别是电视胸腔镜手术。
目的：探討數字醫學技術在診斷和治療非小細胞肺癌中的價值。方法：2011年1月-2012年12月收治的經320排螺鏇CT掃描，術前三維重建、術中導航的40例非小細胞肺癌（NSCLC）患者，經電視胸腔鏡應用內鏡縫閤切割器切除病竈，術中快速冰凍切片明確診斷，行肺段切除術，肺葉切除術。結果：術中證實95%以上的動脈可被CT髮現。手術時間(45.5±22.1) min，術中齣血量(50.2±40.2) ml。切除淋巴結(6.6±4.7)枚。無術中死亡。術後病理：鱗癌15例，腺癌25例；病理分期：T1aN0M08例，T1aN1M06例，T1bN0M04例，T1bN1M06例，T2aN0M04例，T2aN1M012例。術後肺部感染6例，肺不張4例，經抗炎治療或負壓吸引治愈；無其他嚴重併髮癥。結論：數字醫學技術有助于非小細胞肺癌的診斷和治療，從而降低手術風險，特彆是電視胸腔鏡手術。
목적：탐토수자의학기술재진단화치료비소세포폐암중적개치。방법：2011년1월-2012년12월수치적경320배라선CT소묘，술전삼유중건、술중도항적40례비소세포폐암（NSCLC）환자，경전시흉강경응용내경봉합절할기절제병조，술중쾌속빙동절편명학진단，행폐단절제술，폐협절제술。결과：술중증실95%이상적동맥가피CT발현。수술시간(45.5±22.1) min，술중출혈량(50.2±40.2) ml。절제림파결(6.6±4.7)매。무술중사망。술후병리：린암15례，선암25례；병리분기：T1aN0M08례，T1aN1M06례，T1bN0M04례，T1bN1M06례，T2aN0M04례，T2aN1M012례。술후폐부감염6례，폐불장4례，경항염치료혹부압흡인치유；무기타엄중병발증。결론：수자의학기술유조우비소세포폐암적진단화치료，종이강저수술풍험，특별시전시흉강경수술。
Objective: To study the value of digital medical technology on diagnosis and treatment of non-small cell lung cancer. Methods: 40 NSCLC patients were collected, who were examined with preoperatively 320-detector-row multidetector computed tomography, three-dimensional reconstruction, intraoperative navigation from January 2011 to December 2012, segmentectomy or lobectomy was performed by VATS based on fast frozen sections. Results: It was confirmed that over 95% artery could be found by 3D CT during the operation. The procedure was completed in ( 45.5 ± 22.1 ) min, the mean blood loss was ( 50.2 ± 40.2 ) ml, a mean of ( 6.6 ± 4.7 ) lymph nodes were resected. There was no death during the procedure. Postoperative pathology showed squamous cell cancer in 15 cases and adenocarcinoma in 25. postoperative pathological staging: 8 cases in T1aN0M0, 6 in T1aN1M0, 4 in T1bN0M0, 6 in T1bN1M0, 4 in T2aN0M0, 12 in T2aN1M0. There was no other severe complication. Conclusion: Digital medical technology is helpful for the diagnosis and treatment of non-small cell lung cancer. It can reduce the operation risks, especially video-assisted thoracic operation.
