肺结节定位针和Hook-wire在肺结节术前定位中的应用比较  

Comparison of Lung Nodule Localization Needles and Hook-wire for Preoperative Localization of Lung Nodules

作　　者：田彦超 张鹏[1] 陈渊[1] 谢佳佳 吴君[1] 李健[1] Tian Yanchao;Zhang Peng;Chen Yuan(Tianjin Medical University General Hospital,Tianjin,300000,China)

机构地区：[1]天津医科大学总医院,天津300000

出　　处：《黑龙江医学》2023年第24期2975-2977,共3页Heilongjiang Medical Journal

基　　金：天津市自然科学基金(19JCZDJC35500);天津市自然科学基金(19JCQNJC12000)。

摘　　要：目的:探讨术前CT引导下新型肺结节定位针和Hook-wire定位针在肺小结节胸腔镜切除术中的应用价值,为术前定位方法的选择提供更多循证证据。方法:回顾性分析2022年1月—2022年10月于天津医科大学总医院心胸外科接受胸腔镜手术治疗肺结节,并在术前接受肺结节定位的80例患者的临床资料,根据定位针种类不同分为Hook-wire组和新型肺结节定位针组。Hook-wire定位针组患者接受术前CT引导下肺结节Hook-wire定位,新型肺结节定位针组患者接受术前CT引导下肺结节定位,比较两组定位效果及患者预后情况。结果:新型肺结节定位针组的定位后疼痛评分和移位或脱钩发生率均明显低于Hook-wire组,差异有统计学意义(χ^(2)=-6.671;t=3.914,P<0.05)。结论:肺小结节胸腔镜切除术前采用CT引导新型肺结节定位针定位能有效降低钩丝移位或脱钩风险并减轻定位后疼痛。Objective:To investigate the value of preoperative CT-guided novel pulmonary nodule localization needles and Hook-wire localization needles in thoracoscopic resection of small pulmonary nodules,and to provide more evidence-based evidence for the choice of preoperative localization methods.Methods:Clinical data of 80 patients who underwent thoracoscopic surgery for pulmonary nodules and underwent preoperative localization of pulmonary nodules at the hospital from January 2022 to October 2022 were retrospectively analyzed.They were divided into the Hook-wire group and the new lung nodule localization needle group according to the type of localization needles.Patients in the Hook-wire localization needle group received preoperative CT-guided Hook-wire localization of lung nodules,and patients in the new lung nodule localization needle group received preoperative CT-guided localization of lung nodules.The localization effect and patient prognosis were compared between the two groups.Results:There was no statistically significant difference in the comparison of nodule diameter,distance of the nodule from the wall pleura,localization time,incidence of pneumothorax,and incidence of hemorrhage between the two groups of patients(t/χ^(2)=0.050,-0.782,0.065,1.967,-0.298,1.458,0.871,P>0.05).The post-positioning pain scores and the incidence of displacement or decoupling were significantly lower in the new pulmonary nodule localization needle group than in the Hook-wire group,and the difference was statistically significant(t/χ^(2)=-6.671,3.914,P<0.05).Conclusion:The use of CT-guided positioning of a new type of pulmonary nodule localization needle before thoracoscopic resection of small pulmonary nodules can effectively reduce the risk of hook wire displacement or dislocation and alleviate the post-positioning pain.

关 键 词：术前定位 肺小结节 HOOK-WIRE 胸腔镜手术 

分 类 号：R655.3[医药卫生—外科学]