[1]倪慧霞,赵 卫,胡继红,等.CT引导下微弹簧圈定位在肺小结节胸腔镜术中的临床应用 [J].介入放射学杂志,2017,(06):555-559.
 NI Huixia,ZHAO Wei,HU Jihong,et al.The clinical application of CT- guided microcoil positioning of small pulmonary nodules in video- assisted thoracic surgery[J].journal interventional radiology,2017,(06):555-559.
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CT引导下微弹簧圈定位在肺小结节胸腔镜术中的临床应用



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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年06期
页码:
555-559
栏目:
临床研究
出版日期:
2017-06-25

文章信息/Info

Title:
The clinical application of CT- guided microcoil positioning of small pulmonary nodules in video- assisted thoracic surgery
作者:
倪慧霞 赵 卫 胡继红 王 滔 潘文秋 宿敬存 李 安
Author(s):
NI Huixia ZHAO Wei HU Jihong WANG Tao PAN Wenqiu SU Jincun LI An
Department of Medical Imaging, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650032, China
关键词:
【关键词】 肺小结节 胸腔镜手术 术前定位 微弹簧圈
文献标志码:
A
摘要:
【摘要】 目的 探讨电视胸腔镜手术(VATS)前CT引导下微弹簧圈定位肺小结节(SPN)对精准切除病灶的临床价值。方法 回顾性分析2014年6月至2016年5月,90例行VATS切除孤立性SPN患者的资料。其中45例患者术前行微弹簧圈定位(A组),45例患者未行术前定位(B组)。统计分析两组VATS肺叶楔形切除时间、转开胸手术率、术后住院时间,以及微弹簧圈定位病灶的成功率、并发症等,评价术前微弹簧圈定位病灶的安全性及其对VATS术的增益价值。结果 A组VATS术成功率100%;SPN病灶定位成功率95.6%,术后出现气胸5例、肺表面出血6例、弹簧圈脱落2例等并发症。B组VATS手术成功率84.4%,中转开胸率15.6%。A组VATS手术时间(17.7±2.8) min、术后住院时间(6.2±1.7) d及中转开胸0例明显低于B组,差异具有统计学意义(P<0.05)。结论 CT引导下微弹簧圈定位,可辅助VATS快速、精确切除肺内小病灶,能有效降低中转开胸率、缩短VATS手术时间及术后住院时间。

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备注/Memo

备注/Memo:
(收稿日期:2016-06-14)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2017-06-13