肺结节定位针对周围型浅表非实性肺小结节VATS术前CT引导下精准定位的临床应用  

Clinical application of pulmonary nodule localization needle in preoperative precise CT-guided location of peripheral superficial non-solid small pulmonary nodules before VATS

作　　者：高德培[1] 贺银付 李振辉[1] 张大福[1] 谢锟 董兴祥[1] GAO De-pei;HE Yin-fu;LI Zhen-hui(Department of Radiology,the Third Affiliated Hospital of Kunming Medical University,Yunnan cancer Hospital,Kunming 650118,China)

机构地区：[1]昆明医科大学第三附属医院(云南省肿瘤医院),昆明650118

出　　处：《放射学实践》2022年第3期307-311,共5页Radiologic Practice

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项项目(202001AY070001-240);云南省教育厅科学研究基金项目(2020J0194)。

摘　　要：目的:探讨肺结节定位针在电视胸腔镜手术(VATS)下对周围型浅表非实性肺小结节术前CT引导下定位的有效性及安全性。方法:回顾性收集2020年4月-2021年3月60例患者共60个周围型浅表非实性肺小结节进行VATS术前CT引导下肺结节定位针定位的病例资料,统计肺结节定位针的定位成功率、定位时间、并发症。结果:60例周围型浅表非实性肺小结节患者VATS术前CT引导下采用肺结节定位针的定位成功率为100%,胸腔镜下周围型浅表非实性肺结节切除率为100%,结节定位时间平均为(14.15±3.12)分钟,气胸发生率为16.67%,肺出血发生率为13.33%。结论:CT引导下肺结节定位针对周围型浅表非实性肺小结节的定位成功率高、时间效率高、并发症轻微,可辅助VATS精准、快速、有效地对周围型浅表非实性肺小结节行肺楔形切除术,值得临床推广应用。Objective:To explore the efficacy and safety of pulmonary nodule localization needle in preoperative CT guided location of peripheral superficial non-solid small pulmonary nodules in video-assisted thoracoscopic surgery(VATS).Methods:Sixty patients with peripheral superficial non-solid small pulmonary nodules positioned by CT-guided lung nodule positioning needle before VATS were collected retrospectively from April 2020 to March 2021.The localization success rate, localization time and complications were recorded.Results:The localization success rate of 60 patients with peripheral superficial non-solid small pulmonary nodules using pulmonary nodule localization needle under preoperative CT guidance of VATS was 100%.And all of the peripheral superficial non-solid lung nodules were successfully resected under video-assisted thoracoscopic.The average nodule positioning time was(14.15±3.12)min.The incidence of pneumothorax and pulmonary hemorrhage were 16.67% and 13.33%,respectively.Conclusion:CT-guided pulmonary nodule localization has high localization success rate, high time efficiency and few complications, which can assist VATS to accurately, quickly and effectively perform pulmonary wedge resection for peripheral superficial non-solid pulmonary nodules.It is worthy of being popularized in the clinical application.

关 键 词：非实性肺小结节 电视胸腔镜手术 CT引导 穿刺定位 肺结节定位针 

分 类 号：R814.42[医药卫生—影像医学与核医学] R734.2[医药卫生—放射医学]