[1]高 绍,韩晓亮,王 亮,等.不同定位方式在肺结节胸腔镜切除术中的临床应用价值研究 [J].介入放射学杂志,2024,33(02):171-175.
 GAO Shao,HAN Xiaoliang,WANG Liang,et al.The clinical application value of different localization methods in thoracoscopic resection of pulmonary nodules[J].journal interventional radiology,2024,33(02):171-175.
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不同定位方式在肺结节胸腔镜切除术中的临床应用价值研究 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年02
页码:
171-175
栏目:
临床研究
出版日期:
2024-03-08

文章信息/Info

Title:
The clinical application value of different localization methods in thoracoscopic resection of pulmonary nodules
作者:
高 绍 韩晓亮 王 亮 姚克林 夏家栋
Author(s):
GAO Shao HAN Xiaoliang WANG Liang YAO Keling XIA Jiadong.
Department of Radiology, Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang Province 312000, China
关键词:
【关键词】 肺结节 医用胶 锚定针 电视胸腔镜
文献标志码:
A
摘要:
【摘要】 目的 比较医用胶及一种新型医用锚定定位针在肺结节胸腔镜切除术中的临床应用价值。方法 选取2020年1月至2022年12月在我院胸外科因肺部结节行电视胸腔镜手术(VATS)的患者共182例。术前均对肺部手术结节行CT引导下定位,其中采用医用胶定位89例,锚定针定位93例。观察并记录两组患者在定位过程中的气胸、出血发生率,统计定位时间、定位-手术衔接时间、手术时间及定位过程中产生的辐射剂量,并做统计学分析。结果 锚定针组定位成功率为100%(93/93),医用胶组定位成功率为96.7%(86/89),两组间差异无统计学意义(P>0.05)。锚定针组出血发生率为31.2%(29/93),医用胶组为15.7%(14/89),两组间差异具有统计学意义(P<0.05)。锚定针组气胸发生率为30.1%(28/93),医用胶组为20.2%(18/89),两组间差异无统计学意义(P>0.05)。两组间手术时间比较无统计学差异(P>0.05),医用胶组定位时间、定位-手术衔接时间长于锚定针组,同时辐射剂量高于锚定针组,两组间差异均具有统计学意义(P<0.05)。结论 针对磨玻璃结节(GGO)或孤立性结节(SPN)等结节术前定位,医用胶及锚定针两种定位方式均有较高的临床应用价值,临床及介入医师在工作中可根据患者实际情况,选择合适的定位方式。

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备注/Memo

备注/Memo:
(收稿日期:2023- 04- 03)
(本文编辑:茹 实)
更新日期/Last Update: 2024-03-08