CT引导下带钩钢丝精准定位肺磨玻璃结节在胸腔镜术前的应用及并发症的分析

须民欣; 赵正凯; 梁  勇; 刘  建; 周  瀚

doi:10.12117/jccmi.2020.02.015

中国临床医学影像杂志 ›› 2020, Vol. 31 ›› Issue (2) : 135-137. DOI: 10.12117/jccmi.2020.02.015

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CT引导下带钩钢丝精准定位肺磨玻璃结节在胸腔镜术前的应用及并发症的分析

须民欣，赵正凯，梁勇，刘建，周瀚

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Application and complication analysis of CT guided wire with hook for precise localization of pulmonary ground glass nodules before thoracoscopy

XU Min-xin, ZHAO Zheng-kai, LIANG Yong, LIU Jian, ZHOU Han

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摘要

目的：探讨肺磨玻璃结节胸腔镜术前行CT引导下带钩钢丝精准定位的临床应用及并发症的分析。方法：收集28例患者34枚肺磨玻璃结节行CT引导下带钩钢丝精准定位，并行胸腔镜下肺结节切除术的资料。结果：CT引导下定位成功率为100%，定位时间约为（19.15±6.23） min。6例患者出现少量气胸，3例患者出现带钩钢丝周围少量出血，均无需临床进行相关处理；2例患者于胸腔镜手术时发现带钩钢丝滑脱出肺组织外，但术者经穿刺点肺表面出血点成功完成了肺楔形切除。VATS肺楔形切除术成功率为100%。结论：CT引导下带钩钢丝精准定位是一种安全、有效的术前定位方法，在VATS术中可协助术者快速、准确切除肺磨玻璃结节，其并发症偶有发生，但多较轻微且无需进行处理，值得推广。

关键词

肺疾病 / 胸腔镜检查 / 体层摄影术 / X线计算机

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须民欣，赵正凯，梁勇，刘建，周瀚. CT引导下带钩钢丝精准定位肺磨玻璃结节在胸腔镜术前的应用及并发症的分析[J]. 中国临床医学影像杂志. 2020, 31(2): 135-137 https://doi.org/10.12117/jccmi.2020.02.015

XU Min-xin, ZHAO Zheng-kai, LIANG Yong, LIU Jian, ZHOU Han. Application and complication analysis of CT guided wire with hook for precise localization of pulmonary ground glass nodules before thoracoscopy[J]. Journal of China Clinic Medical Imaging. 2020, 31(2): 135-137 https://doi.org/10.12117/jccmi.2020.02.015

中图分类号： Ｒ563 Ｒ814.42

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