[1]黄大钡,李晓群,张 健,等.C臂CT在肺小结节胸腔镜切除术前定位中的应用[J].介入放射学杂志,2017,(09):843-846.
 HUANG Dabei,LI Xiaoqun,ZHANG Jian,et al.The application of C- arm CT in guiding preoperative hook- wire localization of solitary pulmonary nodule before thoracoscopic resection[J].journal interventional radiology,2017,(09):843-846.
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C臂CT在肺小结节胸腔镜切除术前定位中的应用()

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

卷:
期数:
2017年09期
页码:
843-846
栏目:
临床研究
出版日期:
2017-09-25

文章信息/Info

Title:
The application of C- arm CT in guiding preoperative hook- wire localization of solitary pulmonary nodule before thoracoscopic resection
作者:
黄大钡 李晓群 张 健 文自祥 刘辉来
Author(s):
HUANG Dabei LI Xiaoqun ZHANG Jian WEN Zixiang LIU Huilai
Department of Interventional Radiology, Zhongshan Municipal People’s Hospital, Zhongshan, Guangdong Province 528400, China
关键词:
【关键词】 C臂CT 肺结节 Hook- wire 电视辅助胸腔镜手术
文献标志码:
A
摘要:
【摘要】 目的 探讨C臂CT在肺小结节胸腔镜术前定位中的应用价值。方法 回顾性分析2011年1月至2015年12月51例患者51个孤立性肺结节(SPN)于电视胸腔镜肺叶切除(VATS)术前行C臂CT引导下Hook- wire定位技术,并统计该技术的成功率、定位时间、并发症、VATS转开胸手术率,以及SPN平均大小,距脏层胸膜距离、病理学结果。结果 C臂CT引导下Hook- wire定位成功率100%,平均定位时间16 min,无症状气胸发生率7.8%,无症状出血率21.6%,1例(2.0%)发生脱落,SPN平均大小10.7 mm,距脏层平均距离25.3 mm,穿刺距离(皮肤至肺结节的距离)66.7 mm,恶性SPN占60.8%。结论 C臂CT引导下Hook- wire肺小结节定位准确、安全、快速,是一种高效的引导方式,具有临床应用价值。

参考文献/References:

[1] Jeong YJ, Yi CA, Lee KS. Solitary pulmonary nodules: detection, characterization, and guidance for further diagnostic workup and treatment[J]. AJR Am J Roentgenol, 2007, 188: 57- 68.
[2] 吴一龙, 蒋国樑, 廖美琳, 等. 孤立性肺结节的处理[J]. 循证医学, 2009, 9: 243- 246.
[3] 王升平, 李文涛, 彭卫军, 等. 腔镜术前CT引导下Hook- wire 定位肺内积极性病灶[J]. 中华放射学杂志, 2010, 44: 518- 522.
[4] 黄大钡, 李晓群, 文自祥, 等. C臂CT在肺小结节经皮穿刺活检中的临床应用[J]. 介入放射学杂志, 2012, 21: 770- 772.
[5] 张高尚, 李晓群, 张 健, 等. C臂CT在肺孤立性结节胸腔镜切除术前定位中的应用[J]. 介入放射学杂志, 2012, 21: 829- 832.
[6] 李 运, 隋锡朝, 杨德松, 等. 孤立性肺结节的危险因素[J]. 中华胸心血管外科杂志, 2010, 26: 161- 164.
[7] 黄 蔚, 吴志远, 陈克敏, 等. 多平面重建技术在CT引导肺磨玻璃结节带钩钢丝术前定位中的应用[J]. 介入放射学杂志, 2016, 25: 863- 867.
[8] 闾夏轶, 杨运海, 胡 坚, 等. 肺小结节术前CT引导下Hook- wire定位的临床应用[J]. 中国肺癌杂志, 2011, 14: 418- 420.
[9] Wang YZ, Boudreaux JP, Dowling A, et al. Percutaneous localisa- tion of pulmonary nodules prior to video- assisted thoracoscopic surgery using methylene blue and TC- 99[J]. Eur J Cardiothorac
Surg, 2010, 37: 237- 238.
[10] 强 勇, 杨 楠, 许 建, 等. CT引导下弹簧圈定位结合DSA实时导向VATS精准切除孤立性肺结节的诊疗价值[J]. 医学研究生学报, 2015, 28: 153- 156.
[11] 方卫民. CT引导下经皮肺穿刺金属棒植入并血染色法在胸腔镜治疗肺小结节中的应用[J]. 中外医学研究, 2015, 27: 38- 39.
[12] 黄浩哲, 李文涛, 何新红, 等. CT引导下hook- wire定位在肺小结节胸腔镜切除术中的应用价值[J]. 肿瘤影像学, 2013, 22: 309- 313.
[13] Miyoshi K, Toyooka S, Gobara H, et al. Clinical outcomes of short hook wire and suture marking system in thoracopic resection for pulmonary nodules[J]. Eur J Cardiothorac Surg, 2009, 36: 378- 382.
[14] Alzahouri K, Velten M, Arveux P, et al. Management of SPN in France. Pathways for definitive diagnosis of solitary pulmonary nodule: a multcentre study in 18 French districts[J]. BMC Cancer, 2008, 8: 93.
[15] 顾勤花, 沈琦斌, 李 冬, 等. CT引导Hookwire 定位对胸腔镜治疗孤立性肺结节的影响[J]. 浙江创伤外科, 2015, 20: 556- 557.
[16] 李 明, 张楼乾, 张 晋, 等. 胸腔镜术前CT引导下单纯针刺定位肺亚厘米磨玻璃影结节[J]. 中国肿瘤外科杂志, 2013, 5: 344- 346.
[17] Li W, Wang Y, He X, et al. Combination of CT- guided hookwire localization and video- assisted thoracoscopic surgery for pulmonary nodular lesions: analysis of 103 patients[J]. Oncol Lett, 2012, 4: 824- 828.
[18] 张孔源. CT三维数字化导航穿刺技术在经皮肺穿刺活检中的应用[J]. 介入放射学杂志, 2016, 25: 779- 783.
[19] Braak SJ, van Strijen MJ, van Es HW I, et al. Effective dose during needle interventions: cone- beam CT guidance compared with onventional CT guidance[J], J Vasc Interv Radiol, 2011,22: 455- 461.

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备注/Memo

备注/Memo:
(收稿日期:2016-09-04)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2017-09-12