摘要
目的在肺癌微波消融治疗中探究基于CT的三维数字化导航技术的应用价值。方法回顾性分析我院收治的92例肺癌患者,随机进行三维数字化导航微波消融或传统CT引导下微波消融,分为三维导航组和传统组,依据肿瘤位置、大小(最大径差值≤2 mm)及微波消融条件不同两两配对,共46对,比较2组手术时间、微波针穿刺次数、CT剂量指数、术中并发症发生率、术后病灶控制情况。结果三维导航组与传统组的手术时间分别为(30.07±6.36)min、(47.20±9.65)min、穿刺次数分别为(1.72±0.69)次、(7.13±3.00)次、CT剂量指数分别为(11.16±2.20)mGy、(26.67±8.72)mGy、术中并发症发生率分别为10.87%、34.78%,以上3个指标三维导航组均低于传统组,三维导航组治疗有效率(93.48%)高于传统组(71.74%),差异均有统计学意义(P<0.05)。结论CT引导下利用三维数字化导航技术行肺癌微波消融治疗,使介入穿刺手术的操作更加精准安全。
Objective To explore the application value of computed tomography(CT)-based three-dimensional digital navigation technology in microwave ablation of lung cancer.Methods A total of 92 patients with lung cancer in our hospital were retrospectively analyzed,and randomized to receive microwave ablation with the three-dimensional digital navigation technology or traditional CT-guided microwave ablation(three-dimensional navigation group and traditional group).The two groups were paired according to tumor location,size(the maximum diameter difference of less than or equal to 2 mm),and microwave ablation conditions,for a total of 46 pairs.The operation time,times of microwave ablation needle puncture,CT dose index,incidence rates of intraoperative complications,and postoperative lesion control were compared between the two groups.Results The operation time[(30.07±6.36)min vs(47.20±9.65)min],times of puncture[(1.72±0.69)times vs(7.13±3.00)times],CT dose index[(11.16±2.20)mGy vs(26.67±8.72)mGy],and incidence of intraoperative complications(10.87%vs 34.78%)in the three-dimensional navigation group were lower than those in the traditional group,and the response rate was higher in the three-dimensional navigation group than in the traditional group(93.48%vs 71.74%)(P<0.05).Conclusion CT-guided three-dimensional digital navigation technology for microwave ablation of lung cancer makes the operation of interventional puncture more accurate and safe.
作者
王凤
宋虎
李瑞东
丁宁
张孔源
WANG Feng;SONG Hu;LI Ruidong;DING Ning;ZHANG Kongyuan(Weifang Medical University,Weifang 261053 China;Weifang People's Hospital,Weifang 261041 China)
出处
《中国辐射卫生》
2022年第4期477-481,493,共6页
Chinese Journal of Radiological Health
基金
潍坊市科技发展计划(2020YX001)数字化手术导航系统在肺小结节介入精准诊疗中的应用研究
潍坊市卫生健康委科研计划项目(WFWSJK-2021-284)3D打印模块化模板在放射性I125粒子均匀植入治疗肿瘤中的应用研究
关键词
肺癌
三维数字化导航技术
微波消融
介入治疗
Lung cancer
Three-dimensional digital navigation technology
Microwave ablation
Interventional therapy
作者简介
王凤(1996—),女,山东滨州人,研究生,从事医学影像学相关工作。E-mail:wangfeng2015@126.com;通信作者:张孔源,E-mail:zhangkongyuan@163.com
