摘要
目的探讨单一深部肺小结节胸腔镜术前CT引导下hook-wire定位的应用价值。方法选取单一浅表肺小结节患者68例和深部肺小结节患者42例在术前行CT引导下hook-wire定位,比较两者定位的成功率及气胸、出血发生率。结果68例浅表肺小结节患者术前CT引导下hook-wire定位成功率98.5%(67/68),气胸发生率35.3%(24/68)、出血发生率25.0%(17/68);42例深部肺小结节患者术前CT引导下hook-wire定位成功率100%(42/42),气胸发生率16.7%(7/42)、出血发生率45.2%(19/42)。结论深部肺小结节CT引导下hook-wire定位出血发生率较高,但在保证肺小结节切除完整性的前提下为患者尽可能保留更多的肺功能,应予以推广应用。
Objective To investigate the application value of CT-guided localization with hook-wire for sing deep small pulmonary nodule before the performance of video-assisted thoracoscopic(VATS)resection.Methods Before the performance of VATS resection,CT-guided localization with hook-wire was carried out in 68 patients with a single superficial SPN and 42 patients with a deep SPN.The success rate of location and the incidence of pneumothorax and hemorrhage were compared.Results The location success rate of CT-guided localization for single superficial SPN before VATS resection in 68 patients was 98.5%(67/68).The incidences of pneumothorax and hemorrhage were 35.3%(24/68)and 25.0%(17/68)respectively.In 42 patients with a deep SPN,the location success rate for SPN was 100%.The incidences of pneumothorax and hemorrhage were 16.7%(7/42)and 45.2%(19/42)respectively.Conclusion The incidence of hemorrhage with the CT-guided localization with hook-wire for single deep small pulmonary nodule is higher,but on the premise of ensuring the completeness of pulmonary nodule resection,as much as possible for patients to retain lung function,it should be promoted and applied.
作者
徐忆宁
郑屹峰
黄小燕
潘锋
周玮
XU Yining;ZHENG Yifeng;HUANG Xiaoyan;PAN Feng;ZHOU Wei(Department of Radiology, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou 313000, P.R.China)
出处
《医学影像学杂志》
2021年第11期1898-1901,共4页
Journal of Medical Imaging
基金
浙江省医药卫生科技计划项目(编号:2019ZH042)。
关键词
肺深部结节
引导下定位
体层摄影术
X线计算机
电子胸腔镜切除术
Pulmonary deep nodule
Guided positioning
Tomography X-ray computed
Video-assisted thoracoscopic resection
作者简介
徐忆宁(1993-),男,毕业于温州医科大学,本科学历,住院医师,主要从事医学影像诊断及介入治疗工作;通信作者:郑屹峰,E-mail:zhengyifeng10@163.com。
