中国冶金工业医学杂志

胸腔镜术前CT引导下肺内磨玻璃结节弹簧圈定位的应用

作者：姜红军1 刘俊忠2

分类号：R 814.42

出版年,卷(期):页码：2018,35(5):497-498

摘要：

摘要：目的探讨胸腔镜术前CT引导下肺内磨玻璃结节弹簧圈定位的应用价值。方法回顾性分析47例磨玻璃结节患者，25例GGO在胸腔镜术前行CT引导下弹簧圈定位为胸腔镜组，22例行常规开胸手术为开胸组，比较两组的手术时间、并发症和住院时间。结果患者手术成功率为100%。胸腔镜组手术时间和住院时间均短于开胸组，差异有统计学意义（P＜0.05）。36例为原位腺癌，5例为不典型增生，4例为浸润腺癌，1例为慢性炎症，1例为转移。结论胸腔镜手术前CT引导下弹簧圈定位安全准确，并且缩短手术时间和住院时间。
关键词：体层摄影术；X线计算机；肺磨玻璃结节；术前定位；弹簧圈；胸腔镜

Abstract：Objective To investigate the value of CT-guided microcoil localization for pulmonary ground-glass opacity （GGO） prior to thoracoscopic resection.
Methods 47 cases of pulmonary GGO were reviewed, including 25 cases of GGO patients were treated with CT guided microcoil localization before thoracoscopic surgery as thoracoscopic group, and 22 cases were treated with conventional surgery as surgery group. The operation time, complications and the length of hospital stay were compared. Results The success rate was 100% in all patients. The operation time and hospitalization time of the thoracoscopy group were shorter than that of the surgery group. There were differences with statistic significance（P＜0.05）. 36 cases of adenocarcinoma in situ, 5 case of atypical hyperplasia, 4 cases of invasive adenocarcinoma, 1 case of chronic inflammation, 1 case of metastasis. Conclusion CT-guided microcoil localization for pulmonary ground-glass opacity prior to thoracoscopic resection is safe and accurate, can shorten the operation time and the length of hospital stay.
Key Words：Tomography；X-ray computed；Ground-glass opacity；Localization；Microcoil；Thoracoscopic resection

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参考文献：

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