肺磨玻璃结节CT引导下Hook-wire定位及胸腔镜下切除的临床研究  

Clinical Study of Pulmonary Ground Glass Nodules Under CT Guided Hook-wire and Thoracoscopic Resection

作　　者：冯为[1] 廖明[1] 李金昌[1] 董雷[1] 刘大胜[1] 潘鑫福[1] 

机构地区：[1]黑龙江省佳木斯中心医院胸外科,154002

出　　处：《中国卫生标准管理》2015年第14期160-161,共2页China Health Standard Management

摘　　要：目的：评价肺小结节胸腔镜术前CT引导下定位的价值。方法2014年7月～2015年1月共15例患者，15个微小结节，行胸腔镜切除术，术前皆行CT引导下Hook-wire定位。记录CT引导下Hook-wire定位操作时间、并发症、胸腔镜手术转为开胸手术的机率、住院时间等，计算病灶组织学分型中的恶性机率，讨论肺部＜10 mm的GGO积极手术治疗的必要性。结果共15个患者行15个结节胸腔镜切除术，术前CT引导下Hook-wire定位成功率100％，良性病灶3例（20%）：硬化性血管瘤1例，炎性假瘤2例；肺癌12例，术中最常见的并发症是CT扫描时出现少量气胸，并无穿刺针脱落。结论 CT引导下Hook-wire定位为GGO术前定位提供了一个非常好的方法。Objective To evaluate the lung nodules suture of the value of preoperative CT guided positioning.Methods In July 2014 to January 2015,a total of 15 patients,15 smal nodules,vats resection,preoperative al row CT guided Hook-wire positioning. Record CT guided Hook-wire positioning operation time,complications,thoracoscope surgery to the risk of open chest surgery,length of hospital stay,etc. Lesion type organization credits in malignant probability calculation,discuss the lungs〈10 mm of GGO actively the necessity of surgical treatment.Results A total of 15 patients with 15 tuberous thoracoscope resection,preoperative CT guided Hook-wire positioning success rate 100%,3 cases of benign lesions（20%）,1 case of sclerosing hemangioma,2 cases of inflammatory pseudotumor. 12 cases of lung cancer,intraoperative CT scan is the most common complication occurs when a smal amount of pneumothorax,no needle fal off.Conclusion CT guided Hook-wire positioning for GGO preoperative location provides a very good method.

关 键 词：肺磨玻璃结节 CT引导 Hook-wire定位 胸腔镜下切除 

分 类 号：R445[医药卫生—影像医学与核医学]