【摘要】 目的观察胸腔镜术前CT引导下新型肺结节定位针定位肺小结节的效果。方法回顾性分析50例肺结节患者共53枚肺小结节,直径5.0～15.0 mm,均于CT引导下以新型肺结节定位针定位病灶后接受电视辅助胸腔镜手术(VATS),观察定位效果及并发症。结果对50例53个病灶均成功植入锚定定位针,定位成功率为100%(53/53)。穿刺过程中9例(9/50,18.00%)穿刺针道附近轻微出血;定位术中14例(14/50,28.00%)出现轻度气胸,1例(1/50,2.00%)发生胸膜反应。8例于定位当日、42例于次日接受VATS;术中按定位针指导均成功找到并切除病灶。结论 CT引导下新型肺结节定位针VATS术前定位肺小结节效果佳且安全。更多还原

【Abstract】 Objective To observe the value of CT-guided localization of small pulmonary nodule with new pulmonary nodule locating needle before thoracoscopic surgery. Methods Totally 50 patients with 53 small pulmonary nodules(diameter 5.0-15.0 mm) were retrospectively analyzed. All patients underwent video-assisted thoracoscopic surgery(VATS) after CT-guided localization. The positioning effect and complications were observed. Results The anchor positioning needle was successfully implanted in 53 lesions of 50 patients, and the positioning success rate was 100%(53/53). During the puncture process, minor bleeding occurred near puncture needle passage in 9 cases(9/50, 18.00%), while mild pneumothorax and pleural reaction were noticed during the localization operation in 14 cases(14/50, 28.00%) and 1 case(1/50, 2.00%), respectively. VATS was performed on the day of positioning in 8 cases and on the next day of positioning in 42 cases. All 53 nodules were successfully found and removed according to the guidance of positioning needle. Conclusion CT-guided localization of small pulmonary nodule with new pulmonary nodule locating needle before VATS was effective and safe.更多还原