多种定位方法在亚肺叶切除治疗肺小结节中的临床应用现状  

Clinical application status of multiple localization methods in the treatment of pulmonary nodules by sub-lobectomy

作　　者：韩丁培[1] 杨溯 陈香 郭威 项捷[1] 朱良纲[1] 车嘉铭[1] 杭钧彪[1] 李鹤成[1] HAN Dingpei;YANG Su;CHEN Xiang;GUO Wei;XIANG Jie;ZHU Lianggang;CHE Jiaming;HANG Junbiao;LI Hecheng(Department of Thoracic Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200025,P.R.China)

机构地区：[1]上海交通大学医学院附属瑞金医院胸外科,上海200025

出　　处：《中国胸心血管外科临床杂志》2024年第1期160-165,共6页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金项目(82072557,81871882);国家重点研发计划(2021YFC2500903);上海市卫生计生系统优秀学科带头人培养计划(2017BR055);上海市教育委员会高峰高原学科建设计划(20172005)。

摘　　要：结节的精确定位已成为胸腔镜手术治疗肺部结节的重要技术环节,是安全切缘及避免切除过多正常肺组织的保障。随着医疗技术及设备的不断发展,定位肺小结节的方式也在向更少创伤、更加便捷的方向发展。经过国内外胸外科医生的不断探索与创新,目前已有多种方法应用于肺小结节的术前或术中定位,包括术前经皮穿刺定位、术前经支气管定位、术中触诊定位、术中超声定位及依据解剖学定位。应根据结节位置、现有设备及手术经验选择最合适的定位方法。通过查阅文献,我们梳理了不同肺小结节定位方法的理论与技术,总结其优劣以供大家参考。The precise localization of pulmonary nodules has become an important technical key point in the treatment of pulmonary nodules by thoracoscopic surgery,which is a guarantee for safe margin and avoiding removal of too much normal lung parenchyma.With the development of medical technology and equipment,the methods of locating pulmonary nodules are also becoming less trauma and convenience.There are currently a number of methods applied to the preoperative or intraoperative localization of pulmonary nodules,including preoperative percutaneous puncture localization,preoperative transbronchial localization,intraoperative palpation localization,intraoperative ultrasound localization,and localization according to anatomy.The most appropriate localization method should be selected according to the location of the nodule,available equipment,and surgeon’s experience.According to the published literatures,we have sorted out a variety of different theories and methods of localization of pulmonary nodules in this article,summarizing their advantages and disadvantages for references.

关 键 词：肺小结节 亚肺叶切除 胸腔镜手术 定位 综述 

分 类 号：R734.2[医药卫生—肿瘤]