ICG荧光染色法与改良膨胀萎陷法在胸腔镜肺段切除中的对比研究

doi:10.7517/issn.1674-0475.220529

影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (5): 1211-1214.DOI: 10.7517/issn.1674-0475.220529

ICG荧光染色法与改良膨胀萎陷法在胸腔镜肺段切除中的对比研究

郑发德¹, 郭晓彤²

1. 百色市人民医院心胸外科, 广西百色 533000;
2. 中国医学科学院北京协和医学院肿瘤医院深圳医院胸外科, 广东深圳 518172

收稿日期:2022-05-30 发布日期:2022-09-13
通讯作者: 郑发德

Comparative Study of ICG Fluorescence Staining and Modified Swelling Collapse Method in Thoracoscopic Segmental Lung Resection

ZHENG Fade¹, GUO Xiaotong²

1. Department of Cardiothoracic Surgery, People's Hospital of Baise, Baise 533000, Guangxi, P. R. China;
2. Department of Thoracic Surgery, Shenzhen Hospital, Peking Union Medical College Cancer Hospital, Chinese Academy of Medical Sciences, Shenzhen 518172, Guangdong, P. R. China

Received:2022-05-30 Published:2022-09-13

摘要/Abstract

摘要： 本文对吲哚菁绿（ICG）荧光染色法及改良膨胀萎陷法在胸腔镜肺段切除中的应用进行对比分析。选取75例胸腔镜肺段切除术肺癌患者，依据数字表法随机分为对照组（35例）和研究组（40例）。对照组患者采用改良膨胀萎陷法，研究组患者采用吲哚菁绿荧光染色法。对比2组疗效、手术相关指标，行常规肺通气功能检测。与对照组相比，研究组患者引流时间、胸腔引流量、住院时间、最大呼气流量（PEF）、一秒用力呼气容积（FEV1）及用力呼气量（FVC）均降低（P<0.05）；研究组患者比对照组患者的段间平面形成时间更早、手术时间更短（P<0.05）；对照组并发症总发生率（25.71%）高于研究组（7.50%），差异具有统计学意义（P<0.05）。ICG荧光染色法与改良膨胀萎陷法在胸腔镜肺段切除中均会对患者肺功能产生影响，但ICG荧光染色法对肺功能影响较轻，并发症发生情况也较低，能够高度准确地识别段间交界线，安全性较高。

关键词: 吲哚菁绿荧光染色, 改良膨胀萎陷法, 胸腔镜肺段切除

Abstract: This paper explored the comparative analysis of Indocyanine Green (ICG) fluorescence staining and modified inflation-deflation method in thoracoscopic pulmonary segmentectomy. Selected 75 patients with lung cancer who received thoracoscopic pulmonary segmentectomy, then randomly divided them into the control group with 35 cases and the study group with 40 cases according to the digital table method. The control group used the modified inflation-deflation method and the study group used the Indocyanine Green (ICG) fluorescence staining method. Compared the efficacy, operation-related indicators of the two groups, and detected the conventional lung ventilation function test. Compared with the control group, the drainage time, chest drainage flow, hospital stay, peak expiratory flow (PEF), forced expiratory volume in one second (FEV1) and forced expiratory volume (FVC) of patients in the study group were all decreased (P<0.05). Patients in study group had earlier formation time of intersegment plane and shorter operation time than those in the control group (P<0.05). The overall incidence of complications in the control group (25.71%) was higher than that in the study group (7.50%), and the difference was statistically significant (P<0.05). Both the ICG fluorescence staining method and the modified inflation-deflation method can affect the lung function of patients during thoracoscopic pulmonary segmentectomy, while the ICG fluorescence staining method has less impact on the lung function, and the incidence of complications is also lower, which can be highly accurate identify the junction line between segments, with high security.

Key words: green fluorescent staining, modified inflation-deflation method, thoracoscopic pulmonary segmentectomy

郑发德, 郭晓彤. ICG荧光染色法与改良膨胀萎陷法在胸腔镜肺段切除中的对比研究[J]. 影像科学与光化学, 2022, 40(5): 1211-1214.

ZHENG Fade, GUO Xiaotong. Comparative Study of ICG Fluorescence Staining and Modified Swelling Collapse Method in Thoracoscopic Segmental Lung Resection[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1211-1214.

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ICG荧光染色法与改良膨胀萎陷法在胸腔镜肺段切除中的对比研究

Comparative Study of ICG Fluorescence Staining and Modified Swelling Collapse Method in Thoracoscopic Segmental Lung Resection

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