CAJ | 학술논문

目的探讨肺部小结节胸腔镜术前CT引导下注射硬化剂定位的临床应用价值.方法 2010年12月至2012年1月,27例患者,检出29枚孤立性肺结节,胸腔镜术前在CT引导下注射硬化剂(医用胶)定位后成功行胸胸腔镜下肺楔形切除术.结果 CT引导下注射医用胶定位成功率100％.定位时间(6.87±6.75)min,定位后无严重并发症,29枚小结节均成功定位后行胸腔镜下肺楔形切除术,无中转开胸于术,手术后均经病理确诊.结论 CT引导下注射硬化剂(医用胶)定位方法安全、可行,效果可靠.
목적 탐토폐부소결절흉강경술전CT인도하주사경화제정위적림상응용개치.방법 2010년12월지2012년1월,27례환자,검출29매고립성폐결절,흉강경술전재CT인도하주사경화제(의용효)정위후성공행흉흉강경하폐설형절제술.결과 CT인도하주사의용효정위성공솔100％.정위시간(6.87±6.75)min,정위후무엄중병발증,29매소결절균성공정위후행흉강경하폐설형절제술,무중전개흉우술,수술후균경병리학진.결론 CT인도하주사경화제(의용효)정위방법안전、가행,효과가고.
Objective The aim of this study is to evaluate the efficacy and safety of preoperative CT-guided hardening agent localization.Methods From December 2010 to January 2012,27 patients with 29 solitary pulmonary nodules who had undergone CT-guided hardening agent localization and video-assisted thoracoscopic surgery (VATS) were studied.Results All cases were underwent CT-guided hardening agent localization successfully,and no patient had serious complication that required any intervention.The diameter of nodules ranged from 3 to 21 mm as measured by CT[mean (11.27 ± 6.32) mm].The distance between the center of nodule and visceral pleural ranged from 4 to 38 mm[mean (14.45 ± 4.32) mm].Conversion from VATS to thoracotomies was not necessary during the diagnostic resection procedure nodules.29 solitary pulmonary nodules underwent thoracoscopic wedge resection,and no intra-or postoperative mortality or morbidity was recorded.Conclusion CT-guided hardening agent localization before video-assisted thoracoscopic solitary pulmonary nodule resection is a safe and effective procedure for accurate diagnosis and resection of indeterminate solitary pulmonary nodules.