摘要
目的:比较荧光染色法与膨胀-萎陷法在非小细胞肺癌(NSCLC)肺段切除术中的应用价值。方法:纳入2019年1月-2021年7月在扬州大学附属苏北人民医院、扬州大学医学院附属仪征市人民医院胸外科接受视频辅助肺段切除术的22例NSCLC患者,按照随机数字表法分为荧光染色组(12例)与膨胀-萎陷组(10例)。荧光染色组静脉注射吲哚菁绿进行近红外荧光成像识别肺段间平面,膨胀-萎陷组采用改良膨胀-萎陷法识别肺段间平面。比较两组的围手术期指标及并发症情况。结果:荧光染色组的手术时间明显短于膨胀-萎陷组[(130.83±31.21)min vs(168.00±37.89)min],差异有统计学意义(P<0.05),两组术中出血量、胸管引流时间、术后住院天数、解剖淋巴结数目比较,差异无统计学意义(P>0.05)。荧光染色组发生1例肺漏气,膨胀-萎陷组发生1例肺漏气,1例肺部感染,两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:与膨胀-萎陷法相比,荧光染色法应用于NSCLC肺段切除术的手术时间更短,有一定的优势。
Objective:To compare the application value of fluorescence staining and dilatation-collapse in segmentectomy of non small cell lung cancer(NSCLC).Method:Twenty-two cases of NSCLC patients received video-assisted segmentectomy who were enrolled in the Department of Thoracic Surgery of Northern Jiangsu People’s Hospital Affiliated to Yangzhou University and Yizheng People’s Hospital Affiliated to Medical College of Yangzhou University from January 2019 to July 2021.The patients were divided into fluorescence staining group(12 cases)and dilatation-collapse group(10 cases)according to random number table method.The indocyanine green was injected intravenously for near infrared fluorescence imaging to identify the pulmonary intersegmental plane in fluorescence staining group.The improved dilatation-collapse was used to identify the pulmonary intersegmental plane in dilatation-collapse group.The perioperative indexes and complications were compared between two groups.Result:The operation time in fluorescence staining group was significantly shorter than that in dilatation-collapse group[(130.83±31.21)min vs(168.00±37.89)min],the difference was significant(P<0.05).There were no statistically significant differences in intraoperative blood loss,chest tube drainage time,postoperative hospital stays and number of dissected lymph nodes between two groups(P>0.05).There was 1 case of lung leakage in fluorescence staining group,1 case of lung leakage and 1 case of lung infection in dilatation-collapse group,and there was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion:Compared with the dilatation-collapse,the fluorescence staining has some advantages in shorten operation time for segmentectomy of NSCLC.
作者
丁吉
束余声
陈勇
殷仕宝
胡健
钱云
DING Ji;SHU Yusheng;CHEN Yong;YIN Shibao;HU Jian;QIAN Yun(Yizheng People’s Hospital Affiliated to Medical College of Yangzhou University,Yizheng 211400,China;不详)
出处
《中外医学研究》
2022年第17期67-70,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
扬州市科技计划项目(YZ2021081)。
关键词
非小细胞肺癌
肺段切除术
荧光染色法
膨胀-萎陷法
并发症
图像
Non small cell lung cancer
Segmentectomy
Fluorescence staining
Dilatation-collapse
Complication
Image
