在肺切除术后使用计算机断层扫描对胸部解剖学随时间变化的定量分析
Jun Oh Lee1, Yura Ahn2, Jae Kwang Yun1
1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.
概括
肺切除术会导致显著的胸部解剖变化,包括胸半体体积的减少和中胸部的移位,在手术后的2-3年内稳定. 这些变化量化了肺切除术后胸部解剖学的依赖时间的演变.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
背景情况:
- 肺切除术是一种主要的肺部手术,导致胸部内显著的解剖学变化.
- 对这些依赖时间的变化的定量分析是有限的.
研究的目的:
- 量化分析经肺切除术后血胸体积减小,对侧补偿性高通胀和中间角转移的时间依赖性变化.
主要方法:
- 对经过肺切除术的119名患者进行了回顾性分析.
- 计算机断层扫描 (CT) 扫描被用于量化手术前和手术后6个月,1年,2年和3年的脑胸部体积和中胸部转移角度.
主要成果:
- 在3年内观察到经过手术的半胸部体积显著减少 (25-37%的原始体积) 和 contralateral hyperinflation (21-24%).
- 在肺切除术后,中转移显著增加,在6个月后稳定下来.
- 与右侧肺切除术相比,左侧肺切除术导致体积下降的速度更快.
结论:
- 肺切除术后的前6个月内发生了实质性的解剖变化.
- 术后的胸部结构稳定了2-3年,在最初的6个月后变化的幅度减少.
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