微弹簧圈五步扫描定位法在肺部多发结节诊治中的应用  

Application of five-step scanning localization method with microcoil in the diagnosis and treatment of multiple nodules in the lungs

作　　者：崔健[1] 胡晓丹 王晓[1] 赵云[1] 魏秀峰 薛星星 赵洋乐 CUI Jian;HU Xiaodan;WANG Xiao;ZHAO Yun;WEI Xiufeng;XUE Xingxing;ZHAO Yangle(Chuiyangliu Hospital Affiliated Tsinghua University,Beijing 100021,China)

机构地区：[1]清华大学附属垂杨柳医院,北京100021

出　　处：《临床医药实践》2023年第7期486-489,共4页Proceeding of Clinical Medicine

基　　金：北京市朝阳区科技计划项目(项目编号:CYSF2102)。

摘　　要：目的:探讨微弹簧圈五步扫描定位法在肺部多发结节诊治中的应用及意义。方法:选择2017年6月—2022年12月在清华大学附属垂杨柳医院胸外科进行手术治疗的肺结节患者337例(387个肺内病变),根据术前需定位的结节个数分为对照组(单发,n=297)与观察组(多发,n=40),所有患者均采用微弹簧圈五步扫描定位法进行定位。应用SPSS 21.0统计学软件比较两组患者定位的成功率与并发症。结果:两组病变位置、病变性质、病变大小、病变深度比较,差异有统计学意义(P<0.05)。观察组定位成功率及并发症发生率与对照组比较,差异均无统计学意义(P>0.05)。穿刺定位后观察组出现气胸7例(17.50%),对照组出现气胸32例(10.77%),两组比较差异无统计学意义(P>0.05)。两组均无咯血、空气栓塞及血胸等并发症。两组手术均以胸腔镜亚肺叶切除为主,无中转开胸。两组病变均以早期病变为主。两组患者均痊愈出院,无围术期并发症。结论:使用微弹簧圈五步扫描定位法进行术前定位,肺部多发结节可获得与孤立性结节同样的安全性及有效性。Objective:To study the application and significance of five-step microcoil in the diagnosis and treatment of multiple pulmonary nodules.Methods:Retrospectively selected 337 patients with pulmonary nodules treated in the Department of thoracic Surgery of Chuiyangliu Hospital Affiliated to Tsinghua University from June 2017 to December 2022.All of the patients had preoperative coil positioning.According to whether the lung nodules were divided into experimental group(multiple,n=40)and control group(single,n=297),all patients were located by the five-step scanning positioning method.The success rate of the two groups was compared with complications using SPSS 21.0 statistical software.Results:There were significant differences in the location,nature,size and depth of lesions between the two groups(P<0.05).There was no significant difference in the success rate of localization and the incidence of complications between the two groups(P>0.05).Pneumothorax occurred in 7 cases(17.50%)in the observation group and 32 cases(10.77%)in the control group.There was no significant difference between the two groups(P>0.05).No hemoptysis,air embolism and hemothorax were found in both groups.Sublobectomy was performed by video-assisted thoracoscopic surgery in both groups.The early pathological changes were the most common in both groups.Both groups were cured and discharged without perioperative complications.Conclusion:Using the microcoil five-step scanning positioning method for preoperative positioning,multiple pulmonary nodules can have the same safety and effectiveness as isolated nodules.

关 键 词：肺结节 磨玻璃结节 定位 微弹簧圈 恶性不典型腺瘤样增生 炎性病变 

分 类 号：R734.2[医药卫生—肿瘤]