术前运用Hook-wire与医用胶定位行胸腔镜手术切除孤立性肺小结节的效果  

The effect of preoperative use of Hook-wire and medical gluepositioning in video-assisted thoracic surgery for the removal of solitary pulmonary small nodules

作　　者：郑伟 闻武 程冠球 ZHENG Wei;WEN Wu;CHENG Guanqiu(Department of Thoracic Surgery,Changle District Hospital in Fuzhou,Fuzhou,Fujian,350200,China)

机构地区：[1]福州市长乐区医院胸外科,福建福州350200

出　　处：《当代医学》2024年第8期135-138,共4页Contemporary Medicine

摘　　要：目的探讨术前运用Hook-wire与医用胶定位方式行胸腔镜手术(VATS)切除孤立性肺小结节(SPN)的效果。方法选取2020年1月至2022年2月福州市长乐区医院收治的81例行VATS切除SPN的患者作为研究对象,按照随机数字表法分为观察组(n=41)与对照组(n=40)。对照组术前予以Hook-wire定位,观察组术前予以医用胶定位,比较两组定位和手术情况、定位相关并发症发生率及病理结果。结果两组定位时间、穿刺深度比较差异无统计学意义;观察组定位成功率高于对照组,术中结节切除时间短于对照组,定位费用少于对照组,差异有统计学意义(P<0.05)。观察组定位相关并发症发生率为24.39%,低于对照组的47.50%,差异有统计学意义(P<0.05)。两组良性、非典型增生、微浸润癌、浸润性癌、原位癌、转移瘤病理结果比较差异无统计学意义。结论对VATS切除SPN术前运用医用胶定位可提高定位成功率,缩短手术时间,节省手术费用,降低定位相关并发症发生率,且不影响病理诊断结果。Objective To explore the effect of preoperative use of Hook-wire and medical gluepositioning in video-assisted thoracic surgery(VATS)for the removal of solitary pulmonary small nodules(SPN).Methods 81 patients who underwent VATS resection of SPN admitted to Chan-gle District Hospital in Fuzhou from January 2020 to February 2022 were selected as the study subjects,and they were divided into the observation group(n=41)and the control group(n=40)according to the random number table method.The control group received Hook-wire positioning before surgery,while the observation group received medical gluepositioning before surgery.The situation of positioning and operation,incidence of posi-tioning-related complications,and pathological results were compared between the two groups.Results There were no significant difference in posi-tioning time and puncture depth between the two groups;the positioning success rate in the observation group was higher than that in the control group,the time of resection of nodules was shorter than that in the control group,and the positioning cost was lower than that in the control group,the differences were statistically significant(P<0.05).The incidence of positioning-related complications in the observation group was 24.39%,which was lower than 47.50%in the control group,and the difference was statistically significant(P<0.05).There were no significant differences be-tween the two groups in the pathological results of benigntumor,atypical hyperplasia,microinvasive carcinoma,invasive carcinoma,carcinoma in si-tu and metastasis.Conclusion Preoperative use of medical gluepositioning in patients undergoing VATS resection of SPN can improve the success rate of localization,shorten surgical time,save surgical costs,reduce the incidence of localization related complications,and do not affect the patho-logical diagnosis results.

关 键 词：孤立性肺小结节 胸腔镜手术 医用胶定位 Hook-wire定位 并发症发生率 病理结果 

分 类 号：R655.3[医药卫生—外科学]