[1]邹兴雄,夏俊杰,李宏伟,等.胸腔镜术前CT导引下不同路径钩丝定位≤10 mm肺磨玻璃结节比较研究[J].介入放射学杂志,2024,33(08):884-889.
　ZOU Xingxiong,XIA Junjie,LI Hongwei,et al.CTguided hookwire localization of ≤10 mm pulmonary groundglass nodules via different path ways before videoassisted thoracoscopic surgery：a comparative study[J].journal interventional radiology,2024,33(08):884-889.
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胸腔镜术前CT导引下不同路径钩丝定位≤10 mm肺磨玻璃结节比较研究()

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

卷:
33
期数:
2024年08
页码:
884-889
栏目:
临床研究
出版日期:
2024-08-12

文章信息/Info

Title:
CTguided hookwire localization of ≤10 mm pulmonary groundglass nodules via different path ways before videoassisted thoracoscopic surgery：a comparative study
作者:
邹兴雄; 夏俊杰; 李宏伟; 杨俊强; 邱宇; 杨明; 李文军; 谢文英; 薛会红; 游婧秀; 嘎米; 王娟
Author(s):
ZOU Xingxiong; XIA Junjie; LI Hongwei; YANG Junqiang; QIU Yu; YANG Ming; LI Wenjun; XIE Wenying; XUE Huihong; YOU Jingxiu; GA Mi; WANG Juan.
Department of Radiology，The Third Hospital of Mianyang（Sichuan Provincial Mental Health Center），Mianyang，Sichuan Province 621000，China
关键词:
CT定位;  钩丝定位;  肺结节;  胸腔镜
文献标志码:
A
摘要:
【摘要】目的比较电视辅助胸腔镜手术（VATS）前CT导引下不同路径钩丝定位≤10 mm肺磨玻璃结节的安全性和有效性。 方法回顾性分析2018 年7月至 2023年3月在绵阳市第三人民医院接受VATS前CT导引下钩丝定位的128例≤10 mm肺磨玻璃结节患者临床资料。根据定位路径将患者分为垂直组（88例）和非垂直组（40例）。记录两组穿刺针数、定位手术持续时间、穿刺成功率、VAST手术时间、穿刺相关并发症等。 结果两组患者性别、年龄、吸烟史、结节部位、穿刺体位、结节大小、结节密度特征、肺气肿情况、胸膜至病灶深度比较差异无统计学意义（均P＞0.05）。垂直组与非垂直组相比，穿刺针数较少、定位手术持续时间较短、气胸发生率较低、VATS手术时间较短，差异有统计学意义(均P＜0.05)。被肋骨遮挡肺结节亚组分析也得出同样结果。二元logistic回归分析显示，非垂直穿刺、穿刺针数是气胸发生的独立危险因素。 结论VAST术前CT导引下钩丝定位法定位≤10 mm肺磨玻璃结节安全有效。在确保病灶定位于2.0 cm范围内并有效避开肋骨、血管等遮挡情况下，优先选择垂直于胸膜进针可有效降低气胸发生率、缩短VAST手术时间。

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备注/Memo

备注/Memo:
（收稿日期：2023-08-25）
（本文编辑：谷珂）
更新日期/Last Update: 2024-08-12