Body Tom^(■)移动CT联合基础麻醉应用于术前无痛定位肺小结节的回顾性队列研究  

Application of Body Tom^(■) mobile CT combined with basic anesthesia in preoperative painless localization of small pulmonary nodules:A retrospective cohort study

作　　者：姚梦旭 孙云刚 张强 邵丰[1,2] YAO Mengxu;SUN Yungang;ZHANG Qiang;SHAO Feng(Department of Thoracic Surgery,Affiliated Nanjing Brain Hospital,Nanjing Medical University,Nanjing,210029,P.R.China;Pulmonary Nodule Diagnosis and Treatment Research Center,Nanjing Medical University,Nanjing,210029,P.R.China)

机构地区：[1]南京医科大学附属脑科医院胸外科,南京210029 [2]南京医科大学肺部结节诊疗研究中心,南京210029

出　　处：《中国胸心血管外科临床杂志》2023年第9期1267-1272,共6页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：江苏省南京市重点课题(ZKX190469);南京医科大学校级基金项目(NMUB20210228)。

摘　　要：目的探讨Body Tom^(■)移动CT联合基础麻醉在术前无痛定位肺小结节中的应用,评估其安全性及有效性。方法回顾性分析2022年8—10月在南京医科大学附属脑科医院胸外科使用Body Tom^(■)移动CT联合基础麻醉术前精准定位肺小结节患者的临床资料。分析全组基本信息及围手术期结果。结果共纳入30例患者,其中男12例、女18例,年龄23~71岁。30例肺小结节患者术前定位成功率100.0%,平均定位时间(14.20±4.07)min;出现肺内出血1例,未出现气胸、咯血、胸膜反应等并发症,定位结束到手术开始时间(12.63±5.68)min;无定位针脱落移位或者吲哚菁绿溢出弥散,所有患者均在单孔胸腔镜下完成肺小结节切除,无中转开胸,平均手术时间(85.32±12.60)min;无术后相关并发症,术后胸腔引流管平均留置时间(2.12±1.34)d,平均住院时间(3.52±1.45)d,术后病理结果显示结节距切缘均>2 cm。结论Body Tom^(■)移动CT联合基础麻醉可实现术前无痛、精准定位肺小结节,可有效降低术前定位并发症发生率,缩短手术等待时间,保证肺小结节患者术前定位的安全性和有效性,进一步提升了患者的手术舒适度,具有一定的临床应用价值。Objective To explore the application of Body Tom^(■)mobile CT combined with basic anesthesia in preoperative painless positioning of small pulmonary nodules,and evaluate its safety and effectiveness.Methods Patients using mobile Body Tom^(■)CT to accurately locate pulmonary nodules in the Department of Thoracic Surgery of Affiliated Nanjing Brain Hospital,Nanjing Medical University from August to October 2022 were retrospectively included.Clinical data of the whole patient group were analyzed.Results We finally included 30 patients with 12 males and 18 females at age of 23-71 years.The position success rate of 30 patients with small pulmonary nodules was 100.0%.Location time was14.20±4.07 min.There was one patient of intrapulmonary hemorrhage,with no other complications such as pneumothorax,positioning needle shedding,or pleural reaction.The time from the end of positioning to the start of surgery was 12.63±5.68 min.There was no needle migration or indocyanine green overflow.All patients completed resection of small pulmonary nodules under single-port thoracoscopy,no transit to opening chest.The average operation time was 85.32±12.60 min.There was no postoperative complications,and the average postoperative chest tube retention time was 2.12±1.34 days.And the average length of hospital stay was 3.52±1.45 days.The postoperative pathological results showed that the distance from the nodules was greater than 2 cm.Conclusion Body Tom^(■)mobile CT combined with basic anesthesia can achieve the preoperative painless,precise positioning of pulmonary nodules,effectively reduce the incidence of preoperative positioning complications,shorten the operation waiting time,ensure the safety and effectiveness of patients with preoperative pulmonary nodules positioning,and further improve the surgical comfort of patients,which has certain clinical application value.

关 键 词：肺结节 定位 移动CT 基础麻醉 回顾性队列研究 

分 类 号：R614[医药卫生—麻醉学]