术前hook-wire与经体表医用胶注射定位法在胸腔镜肺结节手术的对比研究  

A comparative study of hook wire and medical glue injection in thoracoscopic pulmonary nodule surgery

作　　者：潘杨军 余欢明[2] 陆伟杰 郑银元[1] PAN Yangjun;YU Huanming;LU Weijie;ZHENG Yinyuan(Department of Radiology, The First People's Hospital of Huzhou, Huzhou City, Huzhou 313000, P.R.China;Department of Thoracic Surgery, The First People's Hospital of Huzhou, Huzhou City, Huzhou 313000, P.R.China)

机构地区：[1]浙江省湖州市第一人民医院放射科,浙江湖州313000 [2]浙江省湖州市第一人民医院胸外科,浙江湖州313000

出　　处：《医学影像学杂志》2020年第12期2209-2212,共4页Journal of Medical Imaging

基　　金：浙江省医药卫生科技计划项目(编号:2020PY025)。

摘　　要：目的探讨术前hook-wire与经体表医用胶注射定位法在胸腔镜肺结节手术的应用效果。方法选取2017年1月~2018年2月期间我院收治的60例行胸腔镜肺结节手术的患者列为对照组,采用术前hook-wire定位法辅助手术实施,将2018年3月~2019年4月期间我院收治的60例行胸腔镜肺结节手术的患者列为观察组,采用经体表医用胶注射定位法辅助手术实施,比较两组患者的穿刺、定位情况,治疗效果以及结节病理分析。结果两组患者的穿刺深度、定位时间以及肺结节距离定位点的距离相比较均差异无统计学意义(P>0.05),观察组患者的穿刺成功率为100%,对照组患者出现2例定位针脱钩,成功率为96.67%,比较差异无统计学意义(P>0.05);两组患者的一次性肺结节切除率均为100%,观察组患者的穿刺后并发症发生率明显低于对照组(P<0.05),观察组患者的复发率为3.33%,与对照组的5.00%比较差异无统计学意义(P>0.05);两组患者的术中病理与术后病理分析基本相符,吻合度均较高。结论术前hook-wire与经体表医用胶注射定位法应用于胸腔镜肺结节手术中,均可以为手术的实施提供较好的辅助效果,医用胶注射定位法相较于hook-wire具有并发症低的显著优势,适合临床推广应用。Objective To explore the application effect of hook wire and medical glue injection in thoracoscopic pulmonary nodule surgery.Methods From January 2017 to February 2018,60 patients who underwent thoracoscopic pulmonary nodule surgery in our hospital were listed as the control group,assisted by hook wire positioning method before operation,and 60 patients who underwent thoracoscopic pulmonary nodule surgery in our hospital from March 2018 to April 2019 were listed as the observation group,assisted by surface medical glue injection positioning method.We compared with the wearing of the two groups in acupuncture,location,therapeutic effect and pathological analysis of nodules.Results There was no significant difference between the two groups(P>0.05)in the puncture depth,localization time and the distance between the pulmonary nodule and the localization point(P>0.05);The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05),and the recurrence rate in the observation group was 3.33%.There was no significant difference between the observation group and the control group(P>0.05).Conclusion Before operation,hook wire and medical glue injection through the body surface can provide better auxiliary effect for the operation.Compared with hook wire,medical glue injection has a significant advantage of lower complications,which is suitable for clinical application.

关 键 词：带钩金属丝 医用胶注射定位 胸腔镜肺结节 介入性 放射学 

分 类 号：R734.2[医药卫生—肿瘤] R815[医药卫生—临床医学]