CT引导下Hook-wire穿刺定位在肺磨玻璃结节诊疗中的效果分析  

Application of CT-guided Hook-wire puncture for preoperative localization of lung ground-glass opacity

作　　者：顾勤花[1] 李鸿伟[1] 沈琦斌[1] 闵伟伟 李冬[1] 谢忠海[1] GU Qinhua;LI Hongwei;SHEN Qibin(Department of Thoracic Surgery,Huzhou Central Hospital,Huzhou 313000,China)

机构地区：[1]湖州市中心医院心胸外科

出　　处：《浙江医学》2019年第17期1861-1864,共4页Zhejiang Medical Journal

基　　金：浙江省医药卫生科技计划项目(2018RC071)

摘　　要：目的探讨Hook-wire针穿在肺磨玻璃结节(GGO)术前定位中的可行性和风险。方法选取2018年1至12月收治的137例肺GGO患者,CT引导下Hook-wire穿刺定位后行胸腔镜手术切除,记录穿刺时间、穿刺深度、并发症情况,分析并讨论影响穿刺成功率及并发症发生率的因素。结果所有患者均完整切除病灶,穿刺成功率97.1%,穿刺深度(27.56±8.46)mm,穿刺时间(21.37±6.28)min;并发症发生率32.8%,其中气胸发生率18.2%,血胸发生率(包括局部血肿)18.2%;穿刺深度越大、结节数目越多,血、气胸发生率越高(均P<0.05);穿刺部位不同对血、气胸发生率无影响(P>0.05)。所有穿刺患者手术前未进行特殊治疗。结论CT引导下Hook-wire穿刺定位肺GGO成功率高、简单易行,无严重术后并发症,值得推广应用。Objective To evaluate the application of CT-guided Hook-wire puncture for preoperative localization of lung ground-glass opacity. Methods One hundred and thirty-seven patients with lung ground glass opacity undergoing thoracoscopic surgery in our hospital from January 2018 to December 2018 were recruited. CT-guided Hook-wire puncture for preoperative localization was performed in all patients. The puncture time, depth and complications were documented and the factors affecting the success rate and the incidence of complications were analyzed. Results All patients underwent complete excision of the lesions. The success rate of puncture was 97.1%;the puncture depth was 27.56±8.46 mm and the puncture time was 21.37±6.28 min. The overall incidence of complications was 32.8%;the incidence of pneumothorax was 18.2%;the incidence of hemothorax(including local hematoma) was 18.2%.The incidence of hemothorax and pneumothorax was significantly correlated with the depth and the time of puncture(all P<0.05);however it was not correlated with puncture sites(P>0.05). Conclusion CT-guided preoperative Hook-wire localization of lung ground-glass opacity has a high success rate and it is simple and feasible.

关 键 词：Hook-wire穿刺定位 肺磨玻璃结节 并发症 

分 类 号：R734.2[医药卫生—肿瘤] R730.44[医药卫生—临床医学]