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[1]熊 磊,许 健,易 俊,等.CT引导弹簧圈定位在胸腔镜切除孤立肺结节的应用[J].医学研究与战创伤救治(原医学研究生学报),2013,15(04):329-331.[doi:10.3969/j.issn.1672-271X.2013.04.003]
　XIONG Lei,XU Jian,YI Jun,et al.The application of CT-guided localization with a embolization coil system in treatment of solitary pulmonary nodule with video-assisted thoracoscopic surgery[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(04):329-331.[doi:10.3969/j.issn.1672-271X.2013.04.003]
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CT引导弹簧圈定位在胸腔镜切除孤立肺结节的应用()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第15卷
期数:
2013年04期
页码:
329-331
栏目:
出版日期:
2013-08-05

文章信息/Info

Title:
The application of CT-guided localization with a embolization coil system in treatment of solitary pulmonary nodule with video-assisted thoracoscopic surgery
作者:
熊 磊; 许 健; 易 俊; 崔 颢; 丛壮壮; 申 翼
210000 江苏南京,南京军区南京总医院心胸外科
Author(s):
XIONG Lei; XU Jian; YI Jun; CUI Hao; CONG Zhuang-zhuang; SHEN Yi
Department of Cardiothoracic Surgery,Nanjing General Hospital of Nanjing Military Command,Nanjing,Jiangsu 210002,China
关键词:
孤立肺结节;  术前定位;  弹簧圈;  透视
Keywords:
solitary pulmonary nodule;  preoperative localization;  embolization coil;  fluoroscopy
分类号:
R655.3
DOI:
10.3969/j.issn.1672-271X.2013.04.003
文献标志码:
A
摘要:
目的 探讨CT引导弹簧圈术前定位在胸腔镜下切除孤立肺结节术中的临床应用价值。 方法 对2011年9月-2013年1月的孤立肺结节17例,术前先在CT引导下使用弹簧圈定位,然后在透视辅助胸腔镜下肺楔形切除孤立肺结节。统计弹簧圈定位成功率、定位时间、并发症、透视辅助胸腔镜下肺楔形切除病灶时间等。结果 弹簧圈定位成功率100.0%,弹簧圈定位时间(18.40±5.30)min,无严重定位并发症,无症状并发症发生率58.9%(10例),其中气胸6例(35.3%)、局部肺组织出血3例(17.6%),同时发生气胸和局部肺组织出血1例(5.9%)。透视辅助胸腔镜下肺楔形切除病灶时间(15.71±4.25)min。 结论 孤立肺结节术前应用弹簧圈定位的准确率高,无严重并发症,弹簧圈很难出现移位脱落,方法简单易行、成本低、定位后透视下病灶位置容易辨认,是一种可行的术前定位方法。
Abstract:
Objective Video-agsisted thoracoscopic surgery(VATS)provides a minimally invasive approach to resect solitary pulmonary nodule(SPN).The aim of this study is to evaluate the efficacy and safety of CT-guided localization with a embolization coil system in treatment of SPN with VATS.Methods From September 2011 to January 2013,17 patients with SPN underwent VATS wedge resection.On the day of the operation,under the guidance of CT,an embolization coil system was used to localize the SPN.Afterwards,the lesions were removed with VATS in the assistance of multi-angular fluoroscopy.The time of puncturing and surgery,achievement ratio,and the complications were summarized and analyzed.Results CT-guided localization with an embolization coil system successed in all patients(100%).The time of puncturing was(18.40±5.30)min.There was no serious complication.Asymptomatic complication rate was 58.9%.Among,pneumothorax rate,local pulmonary tissue hemorrhage rate and simultaneous pneumothorax and hemorrhage rate were 35.3%,17.6% and 5.9% respectively.Conclusion There are so many advantages of the application,such as high accuracy,no serious complications,simple,low cost,easily recognizable under fluoroscopy.It is a viable technique for SPN localization.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目: 国家自然科学基金项目(81172032)
更新日期/Last Update: 2013-08-05