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心胸外科原发性气管肿瘤的多层螺旋计算机断层扫描成像诊断及外科治疗

Multislice helical computed tomography imaging diagnosis and surgical treatment of primary tracheal tumor in cardiothoracic surgery.

作者信息

Rui Jun, Lian Yu

机构信息

Department of Cardiothoracic Surgery, Wuxi Second People's Hospital, Wuxi, Jiangsu, China.

出版信息

Front Oncol. 2024 May 27;14:1376228. doi: 10.3389/fonc.2024.1376228. eCollection 2024.

DOI:10.3389/fonc.2024.1376228
PMID:38860002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11163370/
Abstract

OBJECTIVE

it aimed to explore the value of multislice helical computed tomography (MSCT) in the diagnosis and surgical treatment of primary tracheal tumors.

METHODS

64 patients with the primary tracheal tumor who were diagnosed in Wuxi Second People's Hospital from March 2020 to March 2021 were selected as the research objects. MSCT imaging was performed on all patients, and suitable surgical methods. The pathological results were compared with original CT, CT virtual endoscopy (CTVE), and Comparisons were made using CT three-dimensional reconstruction images to evaluate the accuracy of MSCT diagnosis. Parameters such as postoperative complications and survival rates were observed to assess surgical effectiveness and safety.

RESULTS

Compared with original CT images (70%, 72%, 70%), the diagnostic accuracy of VR images (80%, 80%, 80%), MPVR images (85%, 90%, 92%), and CTVE images (100%, 100%, 100%) was remarkably improved (P<0.05). The three-year survival rate of patients with smooth muscle tumors, malignant tumors, salivary gland adenoma, papillary tumors, and inflammatory polyp was markedly lower than that of the one-year survival rate, with a significant difference (P<0.05). The incidence of postoperative complications was 14.1%, with three cases resulting in complication-related deaths.

CONCLUSION

the diagnostic accuracy of MSCT imaging of primary tracheal tumor was high. The diagnostic accuracy of CTVE was higher than that of VR and MPVR. Besides, surgical treatment of primary tracheal tumor had a substantial effect, with no serious postoperative complications.

摘要

目的

探讨多层螺旋计算机断层扫描（MSCT）在原发性气管肿瘤诊断及外科治疗中的价值。

方法

选取2020年3月至2021年3月在无锡市第二人民医院确诊的64例原发性气管肿瘤患者作为研究对象。对所有患者进行MSCT成像，并采用合适的手术方法。将病理结果与原始CT、CT虚拟内镜（CTVE）以及CT三维重建图像进行比较，以评估MSCT诊断的准确性。观察术后并发症和生存率等参数，以评估手术效果和安全性。

结果

与原始CT图像（70%、72%、70%）相比，VR图像（80%、80%、80%）、MPVR图像（85%、90%、92%）和CTVE图像（100%、100%、100%）的诊断准确性显著提高（P<0.05）。平滑肌瘤、恶性肿瘤、涎腺腺瘤、乳头状瘤和炎性息肉患者的三年生存率明显低于一年生存率，差异有统计学意义（P<0.05）。术后并发症发生率为14.1%，3例因并发症死亡。

结论

原发性气管肿瘤的MSCT成像诊断准确性高。CTVE的诊断准确性高于VR和MPVR。此外，原发性气管肿瘤的外科治疗效果显著，术后无严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/2f21e4e00310/fonc-14-1376228-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/386791c4e5de/fonc-14-1376228-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/5ba6cc328ca5/fonc-14-1376228-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/f432aa1e82ef/fonc-14-1376228-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/ddc2e87cb311/fonc-14-1376228-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/afca6785628d/fonc-14-1376228-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/1c94975d31e7/fonc-14-1376228-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/2f21e4e00310/fonc-14-1376228-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/386791c4e5de/fonc-14-1376228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/8dccf521718d/fonc-14-1376228-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/845ffbd864e6/fonc-14-1376228-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/5ba6cc328ca5/fonc-14-1376228-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/f432aa1e82ef/fonc-14-1376228-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/ddc2e87cb311/fonc-14-1376228-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/afca6785628d/fonc-14-1376228-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/1c94975d31e7/fonc-14-1376228-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/11163370/2f21e4e00310/fonc-14-1376228-g009.jpg

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