数字医学技术在非小细胞肺癌诊疗中应用价值.pdfVIP

数字诊疗技术与应用 Digital Diagnosis Technology and Application 数字医学技术在 非小细胞肺癌诊疗中的应用价值 ① ＊ ① ① ① ① ① ① ① ① ① 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 摘 要 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：T N M 8例，T N M 6例，T N M 4例，T N M 6例，T N M 4例，T N M 12例。术后肺部感染6例， 1a 0 0 1a 1 0 1b 0 0 1b 1 0 2a 0 0 2a 1 0 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。 关键词 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 Doi:10.3969/j.issn.1673-7571.2013.07.025 The Study of Application Value of Digital Medical Technology on Diagnosis and Treatment of Non-small Cell Lung Cancer / DONG Qin, CUI Jian, XIN Yan-zhong, et al//China Digital Medicine.-2013 8(7): 87 to 89 Abstract 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