[1]刘 丽,文 军,艾 敏,等.CT引导下弹簧圈联合亚甲蓝定位在周围型肺小结节电视胸腔镜手术中的应用 [J].介入放射学杂志,2018,27(12):1168-1172.
LIU Li,WEN Jun,AI Min,et al.Application of CT- guided localization of peripheral pulmonary nodules with coil and methylene blue in performing video- assisted thoracoscopic surgery[J].journal interventional radiology,2018,27(12):1168-1172.
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CT引导下弹簧圈联合亚甲蓝定位在周围型肺小结节电视胸腔镜手术中的应用
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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27
- 期数:
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2018年12期
- 页码:
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1168-1172
- 栏目:
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非血管介入
- 出版日期:
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2018-12-25
文章信息/Info
- Title:
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Application of CT- guided localization of peripheral pulmonary nodules with coil and methylene blue in performing video- assisted thoracoscopic surgery
- 作者:
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刘 丽; 文 军; 艾 敏; 卢光明; 申 翼; 许 健
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- Author(s):
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LIU Li; WEN Jun; AI Min; LU Guangming; SHEN Yi; XU Jian.
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Department of Medical Imaging, General Hospital of Eastern Theater Command, Clinical School, Medical College of Nanjing University, Nanjing, Jiangsu Province 210002, China
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- 关键词:
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【关键词】 周围型肺小结节; 磨玻璃样肺结节; 电视胸腔镜手术; 弹簧圈; 亚甲蓝
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨CT引导下血管栓塞用弹簧圈联合亚甲蓝术前定位在电视胸腔镜手术(VATS)周围型肺小结节楔形切除术中的临床应用价值,探讨周围型肺小结节积极微创手术治疗的临床可行性和必要性。方法 对36例周围型肺小结节患者在CT引导下经皮肺穿刺序贯植入血管栓塞用弹簧圈及亚甲蓝行VATS术前定位。VATS术中根据亚甲蓝及弹簧圈的位置来确定靶病灶的位置及手术切除范围,行VATS肺局部楔形切除。结果 36例患者行高分辨率CT扫描发现周围型肺小结节39个,VAST术前均成功植入39枚弹簧圈及亚甲蓝定位,定位术平均手术时间(11.3±1.45) min。定位后无严重并发症。所有病例均顺利行VAST切除术,平均手术时间(1.5±0.4) h,术后出现的并发症主要为感染(9例),经抗感染治疗后痊愈,无其他严重并发症发生。术后平均住院时间(3.25±0.52) d。术中快速病理及术后常规病理诊断一致。结论 CT引导下弹簧圈联合亚甲蓝在周围型肺小结节尤其是磨玻璃样结节VAST术中定位准确率高,并发症轻,具有较高的安全性及有效性,值得临床推广应用。
参考文献/References:
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备注/Memo
- 备注/Memo:
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(收稿日期:2018-03-06)
(本文编辑:俞瑞纲)
更新日期/Last Update:
2018-12-20