[1]张成,张昊.CT引导下螺旋金属丝穿刺定位联合腹带固定在胸腔镜肺部小结节切除术中的应用[J].徐州医科大学学报,2022,42(03):199-203.[doi:10.3969/j.issn.2096-3882.2022.03.008]
　Computed tomography-guided coil localization combined with abdominal belts for lung nodules resection in thoracoscopic surgery[J].Journal of Xuzhou Medical University,2022,42(03):199-203.[doi:10.3969/j.issn.2096-3882.2022.03.008]
点击复制

CT引导下螺旋金属丝穿刺定位联合腹带固定在胸腔镜肺部小结节切除术中的应用()
分享到：

《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
42
期数:
2022年03期
页码:
199-203
栏目:
出版日期:
2022-03-25

文章信息/Info

Title:
Computed tomography-guided coil localization combined with abdominal belts for lung nodules resection in thoracoscopic surgery
作者:
张成; 张昊
徐州医科大学附属医院胸心外科， 江苏徐州221002
关键词:
肺部结节; 胸腔镜手术; CT引导穿刺定位; 肺结节定位; 腹带固定
分类号:
R653
DOI:
10.3969/j.issn.2096-3882.2022.03.008
文献标志码:
A
摘要:
目的 探讨 CT引导下螺旋金属丝穿刺定位联合腹带固定在肺部小结节切除术中的可行性、安全性及准确性。方法 回顾性分析我院2021年7月-2021年12月收治的100例肺部小结节患者，术前随机选择定位方式，根据定位方式的不同，分为螺旋金属丝定位联合腹带固定组（实验组）（n=50）和单纯螺旋金属丝定位组（对照组）（n=50），统计定位时间、定位成功率、定位并发症、手术切除时间及病理结果情况。 结果 实验组患者的定位时间为（19.62±0.36）min，显著短于对照组的（21.66±0.51）min（P<0.01）；定位并发症气胸发生率显著少于对照组；但两组患者的结节楔形切除时间、手术成功率及病理良恶性，差异无统计学意义（P>0.05）。 结论 CT引导下螺旋金属丝定位针定位联合腹带固定 穿刺损伤更小，气胸发生率更低，操作更简单快捷，定位可靠，患者舒适度高，具有较好的安全性及有效性，值得临床推广和应用。
Abstract:
ob＜x＞jective To explore the feasibility, safety and accuracy of CT guided coil localization combined with abdominal belts for lung nodules in thoracoscopic surgery. Methods One hundred patients with small pulmonary nodules in our hospital from July 2021 to December 2021 were selected retrospectively and randomly divided into the control group and the observation group, with 50 cases in each group. In the control group, me＜x＞tal coil was used to localize lung nodules under the guidance of CT before operation, while in the observation group, coil localization was performed with abdominal belts. The duration of localization, localization success rate, localization complications, nodules resection time and pathologic diagnosis were observed and compared between the two groups. Results The duration of localization in the observation group was significantly shorter than that in the control group[ (19.62±0.36)min vs. (21.66±0.51)min]（P<0.01). The incidence of pneumothorax was 2% in the observation group, which was significantly lower than that in the control group(12%, P=0.09). However, there was no significant difference between the two groups in the wedge resection time, operation success rate and pathologic diagnosis. Conclusions The CT guided coil localization combined with abdominal belts for lung nodules technique is less injury, less pneumothorax rate, convenient, safe, effective, and worthy of clinical promotion to use

相似文献/References:

[1]周健,孙珣,胡小义,等.甲钴胺复合罗哌卡因行肋间神经阻滞对胸腔镜[J].徐州医科大学学报,2021,41(03):189.[doi:10.3969/j.issn.2096-3882.2021.03.007]
　Effects of mecobalamin combined with ropivacaine for intercostal nerve block onthe postoperative depression in patients undergoing thoracoscopic surgery[J].Journal of Xuzhou Medical University,2021,41(03):189.[doi:10.3969/j.issn.2096-3882.2021.03.007]
[2]胡波、王国祥、王伟、姜波、王正.胸腔镜胸腺切除37例分析[J].徐州医科大学学报,2015,35(11):796.
　[J].Journal of Xuzhou Medical University,2015,35(03):796.

更新日期/Last Update: 2022-05-09