CAJ | 학술논문

目的：评价肺小结节胸腔镜术前CT引导下定位的价值。方法2014年7月～2015年1月共15例患者，15个微小结节，行胸腔镜切除术，术前皆行CT引导下Hook-wire定位。记录CT引导下Hook-wire定位操作时间、并发症、胸腔镜手术转为开胸手术的机率、住院时间等，计算病灶组织学分型中的恶性机率，讨论肺部＜10 mm的GGO积极手术治疗的必要性。结果共15个患者行15个结节胸腔镜切除术，术前CT引导下Hook-wire定位成功率100％，良性病灶3例（20%）：硬化性血管瘤1例，炎性假瘤2例；肺癌12例，术中最常见的并发症是CT扫描时出现少量气胸，并无穿刺针脱落。结论 CT引导下Hook-wire定位为GGO术前定位提供了一个非常好的方法。
목적：평개폐소결절흉강경술전CT인도하정위적개치。방법2014년7월～2015년1월공15례환자，15개미소결절，행흉강경절제술，술전개행CT인도하Hook-wire정위。기록CT인도하Hook-wire정위조작시간、병발증、흉강경수술전위개흉수술적궤솔、주원시간등，계산병조조직학분형중적악성궤솔，토론폐부＜10 mm적GGO적겁수술치료적필요성。결과공15개환자행15개결절흉강경절제술，술전CT인도하Hook-wire정위성공솔100％，량성병조3례（20%）：경화성혈관류1례，염성가류2례；폐암12례，술중최상견적병발증시CT소묘시출현소량기흉，병무천자침탈락。결론 CT인도하Hook-wire정위위GGO술전정위제공료일개비상호적방법。
Objective To evaluate the lung nodules suture of the value of preoperative CT guided positioning.Methods In July 2014 to January 2015,a total of 15 patients,15 smal nodules,vats resection,preoperative al row CT guided Hook-wire positioning. Record CT guided Hook-wire positioning operation time,complications,thoracoscope surgery to the risk of open chest surgery,length of hospital stay,etc. Lesion type organization credits in malignant probability calculation,discuss the lungs<10 mm of GGO actively the necessity of surgical treatment.Results A total of 15 patients with 15 tuberous thoracoscope resection,preoperative CT guided Hook-wire positioning success rate 100%,3 cases of benign lesions(20%),1 case of sclerosing hemangioma,2 cases of inflammatory pseudotumor. 12 cases of lung cancer,intraoperative CT scan is the most common complication occurs when a smal amount of pneumothorax,no needle fal off.Conclusion CT guided Hook-wire positioning for GGO preoperative location provides a very good method.