一次性使用肺结节定位针在临床应用中的价值  

The clinical application value of disposable pulmonary nodule locating needle in video-assisted thoracoscopic surgery

作　　者：黄亚勇[1] 傅宇飞 王涛[1] 曹伟[1] 陈刚[1] HUANG Yayong;FU Yufei;WANT Tao;CAO Wei;CHEN Gang(CT Room,Department of Radiology,Xuzhou Central Hospital(Xuzhou Clinical School of Xuzhou Medical University),Xuzhou,Jiangsu Province 221009,China)

机构地区：[1]徐州市中心医院(徐州医科大学徐州临床学院)CT室,江苏徐州221009

出　　处：《介入放射学杂志》2023年第6期585-589,共5页Journal of Interventional Radiology

基　　金：徐州医科大学附属医院发展基金项目(XYFM202207)。

摘　　要：目的 评估一次性使用肺结节定位针在临床中的应用价值。方法 选取2021年1月至2022年3月在徐州市中心医院接受CT引导下一次性使用肺结节定位针定位并行VATS楔形切除术的患者180例。将只定位1个肺结节的140例患者列为单发组,将一次定位≥2个肺结节的40例患者列为多发组。比较两组患者肺结节定位成功率、定位术用时、定位术相关并发症、VATS楔形切除术成功率、VATS用时、肺结节最终病理诊断等。结果 单发组患者肺结节定位术成功率为99.3%,有1个结节定位时钩锚未能完全置入肺内;多发组患者肺结节定位术成功率为97.7%,有2个均是被定位的第2个结节失败,钩锚未成功放置。单发组定位用时(9.0±3.5) min;多发组用时(24.0±12.1) min,其中首个结节用时(10.5±4.4) min。单发组气胸率为15.7%,肺出血发生率为36.4%;多发组气胸率为25%,肺出血发生率为40.0%,两组比较差异无统计学意义(P>0.05)。两组的VATS楔形切除术成功率均为100%。单发组中VATS平均用时(91.6±55.2)min,术中出血量为(41.8±47.1) mL;多发组中VATS平均用时(106.1±65.8) min,术中出血量为(47.5±47.6) mL,两组比较差异无统计学意义(P>0.05)。结论 一次性使用肺结节定位针具有操作简便、安全、成功率高的特点,适用于单发和多发肺结节VATS术前定位。Objective To evaluate the clinical application value of disposable pulmonary nodule locating needle in video-assisted thoracoscopic surgery(VATS).Methods A total of 180 patients,who underwent CT-guided VATS to perform pulmonary wedge resection by using a disposable pulmonary nodule positioning needle to locate the nodule at the Xuzhou Municipal Central Hospital of China between January 2021 and March 2022,were enrolled in this study.One hundred and forty patients,who had only one pulmonary nodule needed to be located,were classified as single group,and the other 40 patients,who had≥2 pulmonary nodules needed to be located at one procedure,were classified as multiple group.The success rate of pulmonary nodule localization,the time used for localization,the localization-related complications,the success rate of VATS wedge resection,the time used for VATS,and the final pathological diagnosis of pulmonary nodules were compared between the two groups.Results The success rate of pulmonary nodule localization in the single group was 99.3%,and in one patient the hook anchor was not completely placed in the lung.The success rate of pulmonary nodule localization in the multiple group was 97.7%,and in two patients the localization of the second nodule failed as the hook anchor was not completely placed in the lung.The mean time used for localization in the single group was(9.0±3.5)min,which in the multiple group was(24.0±12.1)min with a mean time of(10.5±4.4)min for the localization of the first nodule to be located.The incidences of pneumothorax and pulmonary hemorrhage in the single group were 15.7%and 36.4%respectively,which in the multiple group were 25.0%and 40.0%respectively,the differences between the two groups were not statistically significant(P>0.05).The success rate of VATS wedge resection was 100%in both groups.The mean time used for VATS and the mean intraoperative blood loss amount in the single group were(91.6±55.2)min and(41.8±47.1)mL respectively,which in the multiple group were(106.1±65.8)min and(

关 键 词：肺结节 定位针 楔形切除术 

分 类 号：R655.3[医药卫生—外科学]