Cardiothoracic Surgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu, Anhui 241000, China.
Scanning. 2022 Aug 24;2022:9385451. doi: 10.1155/2022/9385451. eCollection 2022.
In order to increase doctors' cognition of the three-dimensional anatomical structure of cardiothoracic and cardiothoracic surgery and increase the diagnosis rate and cure rate of cardiothoracic surgery diseases, the authors propose a method of CT imaging technology for diagnosing cardiothoracic surgery diseases. Through the joint Hookwire positioning of 3D-CTBA, application in thoracoscopic segmentectomy and CT energy spectrum curve, retrospective analysis of diagnosis of intrathoracic lymph node metastasis in non-small-cell lung cancer, 3D-CTBA and CT-guided Hookwire localization, and preoperative CT-enhanced scanning were performed using two methods. The experimental results showed that the chest tube placement time, postoperative thoracic drainage volume, and postoperative hospital stay after the first operation all showed a good trend. The diagnostic sensitivity was 87.1%. The specificity was 92.6%. The correct index was 79.7%. The accuracy was 91.3%. The positive predictive value was 79.4%. And the negative predictive value was 95.7%. These data prove that CT imaging technology has high diagnostic value for thoracic and cardiac surgery diseases and can effectively help the formulation and implementation of thoracic and cardiac surgery diseases.
为了提高医生对心胸外科疾病的三维解剖结构的认知，提高心胸外科疾病的诊断率和治愈率，作者提出了一种利用 CT 成像技术诊断心胸外科疾病的方法。通过 3D-CTBA 的联合 Hookwire 定位、在胸腔镜肺段切除术中的应用、CT 能谱曲线，回顾性分析非小细胞肺癌胸内淋巴结转移的诊断，使用两种方法进行术前 CT 增强扫描，3D-CTBA 和 CT 引导 Hookwire 定位。实验结果表明，胸腔引流管放置时间、术后胸腔引流量、首次手术后住院时间均呈良好趋势。诊断敏感度为 87.1%，特异性为 92.6%，正确指数为 79.7%，准确率为 91.3%，阳性预测值为 79.4%，阴性预测值为 95.7%。这些数据证明 CT 成像技术对心胸外科疾病具有较高的诊断价值，能有效帮助制定和实施心胸外科疾病的治疗方案。
