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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)m1。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_(1a)N_0M_0 8例,T_(1a)N_1M_0 6例,T_(1b)N_0M_0 4例,T_(1b)N_1M_0 6例,T_(2a)N_0M_0 4例,T_(2a)N_1M_0 12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。
Objective: To explore the value of digital medical technology in the diagnosis and treatment of non-small cell lung cancer. Methods: From January 2011 to December 2012, 40 patients with non-small cell lung cancer (NSCLC) who underwent 320-slice spiral CT scan, three-dimensional reconstruction and intraoperative navigation were treated with endoscopic suture cutter Excision of lesions, intraoperative rapid frozen section clear diagnosis, line segmentectomy, lobectomy. Results: More than 95% of the arteries were confirmed by CT during operation. The operative time (45.5 ± 22.1) min, intraoperative blood loss (50.2 ± 40.2) m1. Lymph nodes (6.6 ± 4.7) were excised. No intraoperative deaths. Pathological stage: 15 cases of squamous cell carcinoma and 25 cases of adenocarcinoma; Pathological stage: T_ (1a) N_0M_0 8 cases, T_ (1a) N_1M_0 6 cases, T 1b N_0M_0 4 cases, T 1b 1b N_1M_0 6 cases, T_ (2a) N_0M_0 4 cases, T_ (2a) N_1M_0 12 cases. Postoperative pulmonary infection in 6 cases, 4 cases of atelectasis, anti-inflammatory treatment or negative pressure to cure: no other serious complications. Conclusion: Digital medical technologies are helpful in the diagnosis and treatment of non-small cell lung cancer, thereby reducing the risk of surgery, especially in video-assisted thoracic surgery.