解剖肺切除后的体积补偿:对切除和细分切除的比较分析
Taeyoung Yun1, Byeong Ju Koo2, Kwon Joong Na1,3,4
1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul 03080, Republic of Korea.
概括
叶切除术导致比细分切除术更大的补偿性肺体积增加. 虽然整体肺功能在外科手术后是相似的,但叶叶切除术显示了实际和预测的肺功能之间的差距更大.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 医学成像医学成像
背景情况:
- 肺癌手术包括分管切除或分管切除.
- 评估术后肺功能和补偿机制至关重要.
研究的目的:
- 为了比较肺功能和体积补偿后叶切除术与细分切除术在肺癌患者.
主要方法:
- 对1076名肺癌患者 (2019-2021) 的回顾性审查.
- 对年龄,性别,吸烟和手术前PFT进行倾向性得分匹配 (1:2).
- 深度学习辅助的3DCT用于计算全肺体积 (TLV);与预测的术后体积 (PPO) 进行比较.
主要成果:
- 匹配的队列:378个叶片切除术,189个细分切除术.
- 类似的TLV降低;大额外肺体积 (CLV) 增加后的肺部切除术.
- 细分切除术后更好地保护扩散能力;类似的FVC和FEV1.
- 实际的PFTs超过了PPO值更多的叶片切除术后.
结论:
- 叶切除术诱导的CLV补偿比细分切除术更大.
- 整体肺功能的保存是相似的,但叶叶切除术显示了较大的实际与PPO PFT差异.
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