宫立群, 朱建权, 肖建宇, 赵晓亮, 陈玉龙, 张 雷, 张 强, 贾 斌, 徐 峰, 王长利. CT引导带钩钢丝定位在肺小结节胸腔镜切除术中的应用[J]. 中国肿瘤临床, 2015, 42(6): 357-359. DOI: 10.3969/j.issn.1000-8179.20142091
引用本文: 宫立群, 朱建权, 肖建宇, 赵晓亮, 陈玉龙, 张 雷, 张 强, 贾 斌, 徐 峰, 王长利. CT引导带钩钢丝定位在肺小结节胸腔镜切除术中的应用[J]. 中国肿瘤临床, 2015, 42(6): 357-359. DOI: 10.3969/j.issn.1000-8179.20142091
shu
LiqunGONG, JianquanZHU, JianyuXIAO, XiaoliangZHAO, YulongCHEN, LeiZHANG, QiangZHANG, BinJIA, FengXU, ChangliWANG. CT- guided preoperative hookwire localization of lung nodule in video-assisted thoracic surgery[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2015, 42(6): 357-359. DOI: 10.3969/j.issn.1000-8179.20142091
Citation: LiqunGONG, JianquanZHU, JianyuXIAO, XiaoliangZHAO, YulongCHEN, LeiZHANG, QiangZHANG, BinJIA, FengXU, ChangliWANG. CT- guided preoperative hookwire localization of lung nodule in video-assisted thoracic surgery[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2015, 42(6): 357-359. DOI: 10.3969/j.issn.1000-8179.20142091
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CT引导带钩钢丝定位在肺小结节胸腔镜切除术中的应用

CT- guided preoperative hookwire localization of lung nodule in video-assisted thoracic surgery

    摘要
  • 摘要: 目的：探讨胸腔镜手术前使用CT引导带钩钢丝定位，确定肺部小结节位置，以利于手术中切除的疗效与安全性。方法：收集自 2012年2 月至 2014年3 月天津医科大学肿瘤医院住院34例患者，术前使用CT引导下带钩钢丝（hookwire）定位肺部小结节，定位完成后直接行胸腔镜下肺部病变切除，根据术中冰冻病理结果决定下一步术式。结果：肺部小结节直径 5～22mm。采用CT引导下hookwire 定位成功率100% ，中位定位时间23min。2 例患者在操作过程中穿刺针脱落，有3 例患者定位后CT扫描时发现气胸。结论：术前使用CT引导下带钩钢丝定位肺部微小病变的方法准确、安全性高，能够提高胸腔镜手术中肺部结节切除的准确率。

     

    Abstract: Objective:To explore the feasibility and safety of CT-guided hookwire localization of small lung nodule in video-as -sisted thoracic surgery. Methods:Preoperative localization of small lung nodule was performed using the CT- guided hookwire tech-nique, followed by video-assisted thoracic surgery in the wedge resection. The next mode of operation depends on the results of frozen biopsy. Results: Preoperative localization with CT-guided hookwire was performed in 34patients between February 2012and March 2014. The diameter of lung nodule ranged from 5 mm to 22mm. CT-guided hookwire localization was successful in all patients, with a median positioning time of 23min. Puncture needles were detached from two of the total patients during the surgery, and three other pa-tients showed pneumothorax by CT scan after localization. Conclusion:Preoperative hookwire localization of small lung nodule is an accurate and safe approach to improve the rate of wedge resection in video-assisted thoracic surgery.

     

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