临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2014年
10期
1880-1882
,共3页
肺小结节%CT%医用ZT胶%术前定位%电视胸腔镜手术
肺小結節%CT%醫用ZT膠%術前定位%電視胸腔鏡手術
폐소결절%CT%의용ZT효%술전정위%전시흉강경수술
small pulmonary nodule%CT%medical ZT glue%preoperative localization%video-assisted thora-coscopic surgery
目的：探讨CT引导下肺穿刺注射医用ZT胶在肺部结节病灶胸腔镜术前定位的可行性、安全性和临床价值。方法22例共22个肺内孤立性结节病灶，术前均行CT引导下经皮肺穿刺注射医用ZT胶定位标记，术中先行肺楔形切除术去除病灶并根据病理结果决定进一步手术方案。结果术前CT引导下经皮肺穿刺注射医用ZT胶定位成功率100%(22/22)；穿刺定位后出现刺激性咳嗽10例(45.45%)，无症状气胸3例(13.64%)；无出血、血胸病例。术中均能准确定位后行肺楔形切除术，病理证实为原发性非小细胞肺癌16例，不典型腺瘤样增生4例，良性病变2例。均VATS下完成手术。无中转开胸病例，无术中、术后重大并发症。结论胸腔镜术前CT引导下经皮肺穿刺注射医用ZT胶定位肺部结节病灶，快速、安全、有效，特别在直径≤10 mm的肺微小结节的定位中具有较高的临床价值。
目的：探討CT引導下肺穿刺註射醫用ZT膠在肺部結節病竈胸腔鏡術前定位的可行性、安全性和臨床價值。方法22例共22箇肺內孤立性結節病竈，術前均行CT引導下經皮肺穿刺註射醫用ZT膠定位標記，術中先行肺楔形切除術去除病竈併根據病理結果決定進一步手術方案。結果術前CT引導下經皮肺穿刺註射醫用ZT膠定位成功率100%(22/22)；穿刺定位後齣現刺激性咳嗽10例(45.45%)，無癥狀氣胸3例(13.64%)；無齣血、血胸病例。術中均能準確定位後行肺楔形切除術，病理證實為原髮性非小細胞肺癌16例，不典型腺瘤樣增生4例，良性病變2例。均VATS下完成手術。無中轉開胸病例，無術中、術後重大併髮癥。結論胸腔鏡術前CT引導下經皮肺穿刺註射醫用ZT膠定位肺部結節病竈，快速、安全、有效，特彆在直徑≤10 mm的肺微小結節的定位中具有較高的臨床價值。
목적：탐토CT인도하폐천자주사의용ZT효재폐부결절병조흉강경술전정위적가행성、안전성화림상개치。방법22례공22개폐내고립성결절병조，술전균행CT인도하경피폐천자주사의용ZT효정위표기，술중선행폐설형절제술거제병조병근거병리결과결정진일보수술방안。결과술전CT인도하경피폐천자주사의용ZT효정위성공솔100%(22/22)；천자정위후출현자격성해수10례(45.45%)，무증상기흉3례(13.64%)；무출혈、혈흉병례。술중균능준학정위후행폐설형절제술，병리증실위원발성비소세포폐암16례，불전형선류양증생4례，량성병변2례。균VATS하완성수술。무중전개흉병례，무술중、술후중대병발증。결론흉강경술전CT인도하경피폐천자주사의용ZT효정위폐부결절병조，쾌속、안전、유효，특별재직경≤10 mm적폐미소결절적정위중구유교고적림상개치。
Objective To evaluate the feasibility, safety and clinical value of medical ZT glue injection un-der CT-guided percutaneous for preoperative localization of video-assisted thoracoscopic surgery in patients with pul-monary nodules. Methods 22 solitary pulmonary nodules were marked by medical ZT glue injection under CT-guided percutaneous pre-operatively. They were given wedge-shape excision of lung to wipe nidus intraoperatively, and then the next operation was based on the pathological results. Results The success rate of pre-operatively CT-guided percutaneous injection of medical ZT glue positioning was 100% ( 22/22 ) . There were 10 cases of puncture irritating cough (45. 45%) and 3 cases of asymptomatic pneumothorax (13. 64%), without bleeding and hemothorax cases. The wedge resection of lung lesion was performed after accurately intraoperative positioning. 16 cases of prima-ry non-small cell lung cancer were pathologically confirmed, 4 cases of atypical adenomatous hyperplasia, and 2 cases of nonmalignant disease. There was no conversion to thoracotomy patients and no VATS postoperative major complica-tions. Conclusion The medical ZT glue injection under CT-guided percutaneous for preoperative localization of vid-eo-assisted thoracoscopic surgery is fast, safe and effective in the treatment of patients with pulmonary nodules, par-ticularly in the lungs diameter ≤10 mm tiny nodules.
