3D-CT影像技术辅助胸腔镜肺段切除术治疗非小细胞肺癌的疗效及预后分析
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中图分类号 R734.2 文献标识码 A 文章编号 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
非小细胞肺癌作为肺癌的主要类型之一，其发病率和死亡率在全球范围内居高不下[1]。（剩余9013字）