【摘要】 目的：探究CT三维重建辅助单孔胸腔镜肺叶切除术在早期非小细胞肺癌(NSCLC)治疗中的应用效果。方法：回顾性选取2021年1月—2023年12月赣州市肿瘤医院收治的88例早期NSCLC患者作为研究对象，所有患者均行单孔胸腔镜肺叶切除术治疗，根据术前是否行CT三维重建将患者分为重建组(n=37)和非重建组(n=51)。观察重建组术前CT三维重建定位情况，比较两组围手术期指标、术后并发症发生情况。结果：重建组术前CT三维重建定位肺动脉、肺静脉、支气管与术中探查的符合率分别为94.59%、97.30%、100%；肺静脉或肺动脉解剖变异的发生率为18.92%。重建组手术时间、胸腔引流时间及住院时间均短于非重建组，术中出血量、胸腔总引流量均少于非重建组，差异均有统计学意义(P<0.05)。重建组并发症总发生率为13.51%，低于非重建组的33.33%，差异有统计学意义(P<0.05)。结论：CT三维重建辅助单孔胸腔镜肺叶切除术治疗早期NSCLC患者，可缩短手术时间及住院时间，减少出血、胸腔引流量与术后并发症，提高手术安全性与精确性。

    【关键词】 非小细胞肺癌 单孔胸腔镜肺叶切除术 CT三维重建 围手术期指标 并发症

    Application of CT Three-dimensional Reconstruction Assisted Single-aperture Thoracoscopic Lobectomy in Early-stage Non-small Cell Lung Cancer/XIE Baolong， YE Yongqiang， WANG Gang. //Medical Innovation of China， 2024， 21(20)： 0-044

    [Abstract] Objective： To explore the application effect of CT three-dimensional reconstruction assisted by single-aperture thoracoscopic pulmonary lobectomy in the treatment of early-stage non-small cell lung cancer (NSCLC). Method： A total of 88 patients with early-stage NSCLC admitted to Ganzhou Cancer Hospital from January 2021 to December 2023 were retrospectively selected as the study objects. All patients underwent single-aperture thoracoscopic lobotomy. The patients were divided into reconstruction group (n=37) and non-reconstruction group (n=51) according to whether CT three-dimensional reconstruction was performed before surgery. Positioning condition of preoperative CT three-dimensional reconstruction was observed in the reconstruction group. Perioperative indexes and postoperative complications were compared between the two groups. Result： In the reconstruction group ......