Discovery^(TM) IGS 7复合手术室与传统CT术前定位肺结节在胸腔镜肺切除术中的应用对比分析  

Comparative analysis of the application of Discovery^(TM) IGS 7 hybrid operating room and traditional preoperative CT in the localization of pulmonary nodules in video-assisted thoracic surgery

作　　者：施琴朗 黄丕来 夏照华[1] 宁新忠[1] 王海江[1] 柳晨[2] 郑硕 付强 王延锋 周子原 乔坤[1] Shi Qinlang;Huang Pilai;Xia Zhaohua;Ning Xinzhong;Wang Haijiang;Liu Chen;Zheng Shuo;Fu Qiang;Wang Yanfeng;Zhou Ziyuan;Qiao Kun(Department of Thoracic Surgery,the Third People′s Hospital of Shenzhen/the Second Affiliated Hospital of Southern University of Science and Technology,Shenzhen 518000,China;Department of Radiotherapy,Beijing Cancer Hospital,Beijing 100142,China)

机构地区：[1]深圳市第三人民医院,南方科技大学第二附属医院胸外科,深圳518000 [2]北京大学肿瘤医院介入治疗科,北京100142

出　　处：《中华医学杂志》2021年第33期2571-2575,共5页National Medical Journal of China

基　　金：深圳市三名工程(SZSM201812058);广东省基础与应用基础研究基金委员会粤深联合项目(2019A1515110489)。

摘　　要：目的对比DiscoveryTM IGS 7复合手术室与传统CT术前定位肺结节在胸腔镜肺切除术中的安全性和可行性。方法回顾性收集2020年6月至2021年1月深圳市第三人民医院胸外科经皮穿刺定位后行胸腔镜肺切除术的92例肺结节患者资料,男38例,女54例,年龄26~72(47±12)岁,其中47例患者接受了DiscoveryTM复合手术室定位(复合手术室组),45例患者接受了CT室定位(CT室组)。比较两组从定位开始到手术开始的时间、脱钩率、疼痛评分等指标,判定其安全性和可行性。结果两组年龄、性别、吸烟史、肿瘤家族史、结节特征和质地差异无统计学意义(均P>0.05)。相较CT室组,复合手术室组从定位到手术开始的时间短[(34.8±18.2)min比(250.7±141.2)min],脱钩发生例数少(0例比5例),患者疼痛评分小[0分比(4.00±1.31)分](均P<0.05)。结论在DiscoveryTM IGS 7复合手术室中行经皮穿刺肺结节定位安全有效,从定位到手术开始的时间更短,脱钩发生少,无疼痛感。Objective To compare the safety and feasibility of DiscoveryTM IGS 7 hybrid operating room and traditional preoperative CT in the localization of pulmonary nodules in video-assisted thoracic surgery.Methods A retrospective study was conducted to collect and analyze the data of 92 patients with pulmonary nodules who underwent thoracoscopic lung resection after localization via percutaneous puncture.All participants,including 38 males and 54 females aged from 26 to 72 years with an average age of(47±12)years,were treated at the Department of Thoracic Surgery of the Third People′s Hospital of Shenzhen.Among them,47 patients accepted DiscoveryTM IGS 7 hybrid operating room localization(hybrid operating room group),while 45 patients accepted CT scan localization(CT room group).The time from the start of localization to the beginning of surgery,the decoupling rate,pain score and the duration of hospital stay were compared to evaluate the safety and feasibility.Results There was no significant difference in age,gender,smoking history,family history of tumours,nodule characteristics(including texture)between the two groups(all P>0.05).Compared with the CT room group,the time from localization to the start of the operation in the hybrid operating room group was shorter[(34.8±18.2)min vs(250.7±141.2)min],with fewer cases of decoupling(0 cases vs 5 cases).Furthermore,the patient′s pain score in the hybrid operating room group was lower than that in CT room group[0 vs(4.00±1.31)](all P<0.05).Conclusion Our study confirms that the localization of pulmonary nodules via percutaneous puncture in the DiscoveryTM IGS 7 hybrid operating room is safe and effective.The time from localization to the start of the operation was shorter,with fewer cases of decoupling and no pain.

关 键 词：肺结节 电视辅助胸腔镜手术 复合手术室 术前定位 

分 类 号：R655.3[医药卫生—外科学]