【摘要】 目的 探讨CT引导下弹簧圈与hook-wire两种定位方式在胸腔镜肺切除术临床应用价值,并初步探讨以磨玻璃样结节(GGO)为主的胸腔镜肺切除术的必要性。方法 回顾性分析2013年1月至2017年12月35例单发GGO定位情况Hook-wire组(17例)与弹簧圈组(18例)。比较分析两者的定位时间、并发症发生率、CT扫描次数、手术切除时间及病理类型等的差异性。结果 两组患者在年龄、性别、结节位置、结节大小、结节距胸膜最短距离无统计学差异(P>0.05)。Hook-wire与弹簧圈定位在穿刺定位时间、扫描次数、手术时间比较差异具有统计学意义(P<0.05)。术前定位后,GGO切除成功率100%。结论 VATS肺切除术前使用Hook-wire及弹簧圈定位安全、有效,病灶距离胸膜最短距离>10mm者,Hook-wire比弹簧圈定位更具优势。更多还原

【Abstract】 Objective To evaluate the efficacy and safety of preoperative Computed Tomography (CT)-guided Hook-wire or Microcoil localization for pulmonary ground-glass opacity. Methods From January 2013 to December 2017, 35 cases of single GGO positioning in Hook-wire group (17 cases) and coil group (18 cases) were retrospectively analyzed. The rates of the positioning time, number of CT scanning, operation time,complication rates and the pathological types were compared between the two groups. Results There was no statistically significant difference between the two groups in age, sex, GGO location, size of GGO, and the vertical distance from pleural to nodules (P>0.05). The difference was statistically significant between Hook-wire and Micro-coil positioned in puncture positioning time, CT scanning frequency, operation time (P<0.05). After preoperative localization, the success rate of VATS wedge resection was 100%, without thoracotomy. Conclusion Preoperative CT-guided Hookwire or Micro-coil localization for pulmonary ground-glass opacity is a safe and effective way to improve the accuracy of surgical resection. The vertical distance from pleural > 10 mm, and the Hook-wire is more advantageous than the spring coil positioning.更多还原