影像诊断与介入放射学2020年第29卷第5期-349-
-介入放射学！
肺结节定位针在肺小结节术前定位的
初步临床研究
郭坚溪张华肖伟俅李勇张彦舫孔健
【摘要】目的电视胸腔镜(VATS)下切除肺小结节日益普遍%术前的肺小结节定位是手术成功的关键因素&评估CT 引导下使用肺结节定位针VATS术前定位的安全性、&方法分析2019年11月〜2020年8院VATS 术前在CT引导下肺结节定位针定位的28例肺小结节者(共定位28枚肺结节)资料，总结定位技术成功率和并发症发生率及筛查与并发症有关的危险因素&结果CT引导下肺结节定位针定位技术成功率100%，未发现定位针脱钩或移位，无临床死亡或严重并发症发生&定位的28枚肺结节平均大小(7.53±3.06)mm%结节与胸(10.38±7.46)mm%定位针胸膜下深度(21.61±11.92)mm，锚定定位针与结节距离(4.40±2.95)mm%平均定位时间(28.54±11.46)min&定位后总体并发症例(35.71%)，均为I级不良事件；其中无症状气胸.例(X5r l%)肺出血7例(25.00%)%疼痛*例(3:57A)&并发症的发生与患者、年、吸烟史、定位、位、肺、结节大小、结节位、与结节、定位针胸下深度无明显相关性(!>0.05)，而结节与胸膜距离是气胸发生的独立危
公众号平台登录险因素("#=0.843,95%C%：0.514〜1.029,!<0.05)，且患者发生气胸与在正相关(&=0.713%!=0.000)&所有肺结节均成功经VATS下切除，平均手术(102.67±58.14)min，无需转开胸手术%术院时间(5±2)5&结论CT引导下肺结节定位针定位肺结节是一种有效、便捷、安全的电视胸腔镜术前定位方&
【关键词】肺结节定位；CT引导；肺结节定位针；电视胸腔镜
Preliminary study of preoperative needle localization of pulmonary nodules GUO Jian-%i,ZHANG Hua,XIAO Wei-qiu,LI Yong,ZHANG Yan-fang,KONG Jian.Department of Interventional Radiology,Shenzhen People* s Hospital/Second Clinical Medical College of J inan University/First Affiliated Hospital of S outhern University of S cience and Technology,Guangdong518020,China Corresponding author:KONG Jian,Email:*************
[Abstract】Objective To evaluate the efficacy of CT-guided needle localization of pulmonary nodules before video-assisted thoracoscopic excision surgery(VATS).Methods From November2019to August2020,28patients underwent CT-guided needle localization of28pulmonary nodules before VATS in our institution.The success and complication rates as well as risk factors of the localization technique were reviewed.Results All28pulmonary nodules with mean size of(7.53±3.06)mm and mean distance from the pleura of(10.38±7.46)mm were successfully localized under CT guidance.Th
e average subpleural depth of the needle was (21.61±11.92)mm with(4.40±2.95)mm between needle anchor and nodule,and mean positioning time of(28.54±11.46))min. Complications after needle localization(10/28,35.71%)included asymptomatic pneumothorax(8/28,28.57%),pulmonary hemorrhage(7/28,25.00%),and chest pain(1/28,3.57%).The distance of the nodule from adjacent pleura was a significant risk factor for pneumothorax(OR=0.843,95%CI:0.514-1.029,P'0.05)with positive correlation between pneumothorax and pulmonary hemorrhage(r=0.713,P=0).The occurrence of complications did not correlate significantly with patient*s gender,age,smoking history,nodule size or location,needle positioning time,number of needle punctures,distance between needle anchor and nodule,or subpleural depth of the needle(P>0.05).All pulmonary nodules were successfully rected under VATS,with average operative time of(102.67±58.14)min and average postoperative hospitalization duration of(5±2)days.Conclusion Preoperative CT-guided needle localization of pulmonary nodule is effective and safe for VATS.
特招线
开卷考试【Key words】Pulmonary nodule localization;CT-guided;Pulmonary nodules localization needle;Video-assisted thoracoscopic surgery
公元前英文缩写
DOI：10.3969/j.issn.l005-8001.2020.05.006
基金项目：深圳市卫计委学科能力提升项目(SZXJ2017066)五指山风景区
幼儿园国庆节教案作者单位：518020广东深圳%深圳市人民医院(暨南大学第二临床医学院%南方科技大学第一附属医院)介入放射科
瑞星防火墙通信作者：孔健，Email:*************
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