中华胸心血管外科杂志
中華胸心血管外科雜誌
중화흉심혈관외과잡지
Chinese Journal of Thoracic and Cardiovascular Surgery
2015年
4期
209-212
,共4页
硬币病变,肺%胸外科手术,电视辅助%肺外科手术%肺叶切除术
硬幣病變,肺%胸外科手術,電視輔助%肺外科手術%肺葉切除術
경폐병변,폐%흉외과수술,전시보조%폐외과수술%폐협절제술
Coin lesion pulmonary%Thoracic surgery,video-assisted%Pulmonary surgical procedures%Sublobectomy
目的 探讨一种简单、实用、有效的术中胸腔镜下肺内小结节的定位法.方法 自2012年1月至2014年6月,316例肺内结节患者应用钟表盘综合定位法在胸腔镜下实施了亚肺叶切除术或肺叶切除术.男160例(50.7％),女156例(49.3％);平均年龄58.4岁,其中8例大于80岁.结果 通过钟表盘综合定位法判断准确度达99.0％(313/316).296例实施胸腔镜亚肺叶切除术,其中胸腔镜肺段切除141例,胸腔镜肺局部切除155例;胸腔镜肺叶切除术20例,其中17例为多结节病变,分布于同一肺叶的不同肺段,行胸腔镜下肺叶切除术,3例肺内小结节在应用此法的早期缺乏校正而定位有误,补做肺叶切除术.术后病理证实肺癌194例,肺部转移性肿瘤37例,良性病变85例.结论 钟表盘综合定位法对胸腔镜下肺内结节的定位是简单、有效、实用的.
目的 探討一種簡單、實用、有效的術中胸腔鏡下肺內小結節的定位法.方法 自2012年1月至2014年6月,316例肺內結節患者應用鐘錶盤綜閤定位法在胸腔鏡下實施瞭亞肺葉切除術或肺葉切除術.男160例(50.7％),女156例(49.3％);平均年齡58.4歲,其中8例大于80歲.結果 通過鐘錶盤綜閤定位法判斷準確度達99.0％(313/316).296例實施胸腔鏡亞肺葉切除術,其中胸腔鏡肺段切除141例,胸腔鏡肺跼部切除155例;胸腔鏡肺葉切除術20例,其中17例為多結節病變,分佈于同一肺葉的不同肺段,行胸腔鏡下肺葉切除術,3例肺內小結節在應用此法的早期缺乏校正而定位有誤,補做肺葉切除術.術後病理證實肺癌194例,肺部轉移性腫瘤37例,良性病變85例.結論 鐘錶盤綜閤定位法對胸腔鏡下肺內結節的定位是簡單、有效、實用的.
목적 탐토일충간단、실용、유효적술중흉강경하폐내소결절적정위법.방법 자2012년1월지2014년6월,316례폐내결절환자응용종표반종합정위법재흉강경하실시료아폐협절제술혹폐협절제술.남160례(50.7％),녀156례(49.3％);평균년령58.4세,기중8례대우80세.결과 통과종표반종합정위법판단준학도체99.0％(313/316).296례실시흉강경아폐협절제술,기중흉강경폐단절제141례,흉강경폐국부절제155례;흉강경폐협절제술20례,기중17례위다결절병변,분포우동일폐협적불동폐단,행흉강경하폐협절제술,3례폐내소결절재응용차법적조기결핍교정이정위유오,보주폐협절제술.술후병리증실폐암194례,폐부전이성종류37례,량성병변85례.결론 종표반종합정위법대흉강경하폐내결절적정위시간단、유효、실용적.
Objective With the popularization of low dose chest CT examination,a large number of patients with pulmonary nodules(10 mm ＜ D≤20 mm) or small nodules(4 mm ＜ D≤10 mm) emerged.How to accurately position pulmonary nodules especially small nodules in video-assisted thoracoscopic surgery(VATS) is the key.This study explores the positioning method for small pulmonary nodules in VATS.Methods From January 2012 to June 2014,we used a method named clock dial integrated positioning in 316 patients with pulmonary nodules who underwent limited resection or lobectomy in VATS,obtained satisfactory results.Results The accuracy of clock dial integrated positioning method in judgments was 99％ (313/316).296 cases underwent thoracoscopic sublobectomy,including thoracoscopic pulmonary segmental resection in 141 cases and thoracoscopic wedge resection in 155 cases.20 cases underwent thoracoscopic lobectomy.Among them 17 cases had multinodules which were in the different pulmonary segments of the same lobe.Underwent thoracoscopic lobectomy.The positions of 3 cases were error during early cases,underwent VATS lobectomy.The postoperative pathology:194 cases were lung cancer.37 cases were metastatic tumor.85 cases were benign lesions.Conclusion Combined with the clinical treatment experience,we believe that the clock dial integrated positioning method is effective for positioning in VATS.Clinical VATS experiences accumulations are also needed.
