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中华介入放射学电子杂志 ›› 2024, Vol. 12 ›› Issue (04) : 351 -355. doi: 10.3877/cma.j.issn.2095-5782.2024.04.011

影像诊断

锚状定位钩在肺小结节术前定位中的应用研究
吴秀浅1,(), 庄学龙1, 廖贤英1, 吴文岳1, 蔡键锋1   
  1. 1.515031 广东汕头,汕头大学医学院附属肿瘤医院介入科
  • 收稿日期:2024-03-09 出版日期:2024-11-25
  • 通信作者: 吴秀浅
  • 基金资助:
    汕头市科技计划项目(210610116490674)

Study on the application of anchor hook in preoperative localization of pulmonary nodules

Xiuqian Wu1,(), Xuelong Zhuang1, Xianying Liao1, Wenyue Wu1, Jianfeng Cai1   

  1. 1.Department of Intervention, Cancer Hospital of Shantou University Medical College, Guangdong Shantou 515031, China
  • Received:2024-03-09 Published:2024-11-25
  • Corresponding author: Xiuqian Wu
引用本文:

吴秀浅, 庄学龙, 廖贤英, 吴文岳, 蔡键锋. 锚状定位钩在肺小结节术前定位中的应用研究[J]. 中华介入放射学电子杂志, 2024, 12(04): 351-355.

Xiuqian Wu, Xuelong Zhuang, Xianying Liao, Wenyue Wu, Jianfeng Cai. Study on the application of anchor hook in preoperative localization of pulmonary nodules[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2024, 12(04): 351-355.

目的

评估锚状定位钩在肺小结节胸腔镜术前定位中的效果和安全性。

方法

回顾性分析2021年7月至2023年3月汕头大学医学院附属肿瘤医院胸外科需行胸腔镜下切除前定位的肺小结节或磨砂玻璃样病变的107例(共111个结节)患者的临床资料。术前均在CT引导下,用锚状定位钩对病灶进行定位,术后综合分析该定位方法的有效性及并发症发生率。

结果

共定位111个结节,其中纯磨玻璃样病变46个,部分实性磨玻璃结节33个,实性结节32个,定位成功率100%。胸腔镜下均能根据定位钩位置快速准确找到病灶并切除,无转开胸手术病例。无定位钩移位或脱落。出现并发症16例(14.95%),其中气胸7例(6.54%)、咯血3例(2.80%)、胸闷胸痛6例(5.60%)。

结论

CT引导下,用锚状定位钩对肺小结节或磨砂玻璃样病变进行术前定位,具有操作简便、安全性高及定位效果佳等优点,应用前景良好。

Objective

To evaluate the efficacy and safety of anchor positioning hook in preoperative localization of small pulmonary nodules under thoracoscopy.

Methods

A retrospective analysis was conducted on the clinical data of 107 patients (111 nodules) with pulmonary nodules or ground glass lesions that required localization before thoracoscopic surgery in our hospital from July 2021 to March 2023. All the lesions were located by anchor localization under the guidance of CT before operation. The effectiveness and complications of this localization method were comprehensively analyzed after operation.

Results

A total of 111 nodules were located, including 46 cases of pure ground glass lesions, 33 cases of partial ground glass nodules and 32 cases of solid nodules, with a localization success rate of 100%. Under video-assisted thoracoscopy, the lesions can be found quickly and accurately according to the location of the hook and resected, and there was no case of conversion to thoracotomy. No positioning hook shifted or fell off. Mild complications occurred in 16 cases (14.95%), including 7 cases of pneumothorax (6.54%), 3 case of hemoptysis(2.80%) and 6 cases of mild chest tightness and chest pain (5.60%).

Conclusion

Anchor localization under the guidance of CT for preoperative localization of small pulmonary nodules or frosted glass lesions has the advantages of simple operation, high safety and good localization effect, and has a good application prospect.

表1 肺结节的临床特征
表2 锚状定位钩与定位成功率及并发症发生率比较(n,%)
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