两种定位方法在肺小结节微创治疗中的临床研究  

Clinical research of two localization methods in small pulmonary nodules video-assisted thoracoscopic surgery

作　　者：陆熠 丁一[2] 王明松[1] 汪登斌[1] 梅举[1] LU Yi;DING Yi;WANG Ming-song;WANG Deng-bin;MEI Ju(Xinhua Hospital Affiliated to Shanghai Jiaotong University,Shanghai 201299,China)

机构地区：[1]上海交通大学医学院附属新华医院,上海200092 [2]上海市浦东新区人民医院胸外科,上海201299

出　　处：《临床肺科杂志》2018年第4期591-594,共4页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨弹簧圈与hook-wire在术前肺小结节定位中的应用。方法选取我院112例肺小结节患者,随机分为两组进行术前定位,实验组采用弹簧圈定位(60例),对照组采用hook-wire定位(52例),两组患者定位后行胸腔镜下肺楔形切除术,根据术中冰冻结果采取楔形切除、肺段或肺叶切除术等。记录和分析定位时间、定位准确率、统计并发症发生率及病理结果等数据。结果实验组和对照组资料进行对比,定位成功率100%vs 86.53%,两组患者均无明显并发症。结论弹簧圈定位相对于hook-wire定位,其定位成功率具有显著差异,而并发症无显著差异。我们认为,弹簧圈定位法可降低手术风险,减少手术时间,是值得继续研究和推广的定位方法。Objective To discuss the application of embolization coil and hook-wire in pre-operation CT-guided localization in small pulmonary nodules.Methods 112 patients with small pulmonary nodules were randomly divided into the experimental group(n=60)and the control group(n=52).The experimental group was given embolization coil location,and the control group was given hook-wire location.Then they underwent VATS wedge resection.Further operations including segmentectomy or lobectomy were executed according to the intraoperative frozen section.Time of localization,accuracy rate,complications and pathology results were recorded and analyzed.Results The experimental group(100%)had more localization success rate than the control group(86.53%),and there was no obvious complications occurred in both groups.Conclusion The experimental group has statistic difference with the control group.We believe that embolization coil is able to reduce the operative risk and time,which is worthy of further research and introduce.

关 键 词：CT 弹簧圈 HOOK-WIRE 肺结节 VATS 

分 类 号：R655.3[医药卫生—外科学]