支气管超声引导超细支气管镜联合亚甲蓝定位下电视胸腔镜手术对肺部小结节的临床价值  

Value of endobronchial ultrasound-guided localization with combination of ultrathin bronchoscope and methylene bluefor small pulmonary nodules before video-assisted thoracoscopic surgery

作　　者：徐春华[1] 池传珍 王伟[1] 王羽超[1] 张倩[1] 袁琪[1] 展平[1] 杨如松[2] Xu Chunhua;Chi Chuanzhen;Wang Wei;Wang Yuchao;Zhang Qian;Yuan Qi;Zhan Ping;Yang Rasong(Endoscopic Cente;Department of Thoracic Surger;Nanjing Chest Hospital, Nanjing Chest Hospital Affiliated to Southeast University School of Medicine, Nanjing 210029, Chin)

机构地区：[1]南京市胸科医院东南大学附属南京市胸科医院内镜中心,210029 [2]南京市胸科医院东南大学附属南京市胸科医院胸外科,210029

出　　处：《中华胸心血管外科杂志》2018年第5期278-280,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的探讨支气管超声引导超细支气管镜（endobronchial ultrasound-guided ultrathin bron-choscope，EUGUB）联合亚甲蓝定位在电视胸腔镜（video-assisted thoracoscopic surgery，VATS）下肺部小结节切除术中的临床价值。方法选择60例行VATS手术的肺部小结节患者，术前行EUGUS联合亚甲蓝定位。评价定位准确率、并发症发生率及术后病理等。结果EUGUB联合亚甲蓝定位准确率91．7％，咯血2例，无需特殊处理。术后病理结果证实恶性病灶43例（71．7％），良性病灶17例（28．3％）。结论术前EUGUB联合亚甲蓝定位法准确率高，并发症少，对肺部小结节的胸腔镜手术诊治有一定的临床应用价值。Objective To analyze the value of endobronchial ultrasound-guided uhrathin bronchoscope （EUGUB） and methylene blue positioning video-assisted thoracoscopic surgery（VATS） for small pulmonary nodules. Methods Sixty patients undergoing VATS, using pre-operative EUGUB combination with methylene blue was performed. The positioning accuracy, the complications and pathological classification were analyzed. Results EUGUB combination with methylene blue positioning ac- curacy was 91.7%, meanwhile, 2 patients with hemoptysis with no conservative treatment. The postoperative histological pa- thology results showed that benign lesions and malignant lesions accounted for 28.3% and 71.7%, respectively. Conclusion The method of EUGUB combination with methylene blue in positioning of the small pulmonary nodules increases the achieve- ment ratio of VATS with few complications, and may be widely used in treatment of small pulmonary nodules with VATS.

关 键 词：肺部小结节 定位 支气管超声 电视胸腔镜手术 

分 类 号：R655.3[医药卫生—外科学]