CAJ | 학술논문

目的：探讨CT引导下微弹簧圈定位技术在肺磨玻璃结节胸腔镜外科手术中的应用价值。方法：15例肺磨玻璃结节患者采用CT引导下微弹簧圈定位技术辅助胸腔镜外科手术，回顾性分析所有患者的术前定位、手术过程及病理诊断等临床资料。结果：15例患者均于胸腔镜外科手术前行 CT 引导下行微弹簧圈定位，平均操作时间（16．54±1．84）min，无严重并发症发生；12例患者行肺楔形切除＋肺叶切除术，3例行肺叶楔形切除术，平均手术时间（87．46±7．38）min；术后病理结果：14例为肺腺癌，1例为非典型腺瘤样增生。结论：CT引导下微弹簧圈定位技术可实现对肺磨玻璃结节的快速、准确定位。
목적：탐토CT인도하미탄황권정위기술재폐마파리결절흉강경외과수술중적응용개치。방법：15례폐마파리결절환자채용CT인도하미탄황권정위기술보조흉강경외과수술，회고성분석소유환자적술전정위、수술과정급병리진단등림상자료。결과：15례환자균우흉강경외과수술전행 CT 인도하행미탄황권정위，평균조작시간（16．54±1．84）min，무엄중병발증발생；12례환자행폐설형절제＋폐협절제술，3례행폐협설형절제술，평균수술시간（87．46±7．38）min；술후병리결과：14례위폐선암，1례위비전형선류양증생。결론：CT인도하미탄황권정위기술가실현대폐마파리결절적쾌속、준학정위。
Objective:To investigate the value of CT-guided micro-coil localization technology in pulmonary ground-glass opacity nodules in thoracic surgery.Methods:The localization,operation procedure and pathological results of 1 5 cases with pulmonary ground-glass opacity nodules who received CT-guided micro-coil positioning in our department were analy-sis retrospectively.Results:1 5 patients underwent CT-guided micro-coil localization before operation,the average operating time was (16.54±1.84)min,no serious complications were observed.Wedge resection and lobectomy were performed in 12 cases,and in 3 cases only pulmonary wedge resection was performed,the average operation time was (87.46±7.38)min.In 14 cases adenocarcinoma was confirmed by pathology,and in one case adenomatous hyperplasia was confirmed.Conclusion:CT-guided micro-coil localization provided fast,accurate localization for pulmonary ground-glass opacity nodule.