CAJ | 학술논문

目的：探讨电视辅助胸腔镜手术（VATS）治疗肺部磨玻璃样变（GGO）的临床应用价值。方法：回顾分析我院2012年1月－2014年9月经VATS治疗的25例GGO病例的临床资料，术前行CT引导下穿刺定位，术中行胸腔镜病灶切除术，并将病灶送快速冰冻病理检查，根据病理报告选择相应手术方式。记录手术一般情况和术后的并发症情况。结果：病理检查中：良性增生患者13例，恶性增生患者12例。所有患者手术顺利，手术时间30～120min，术中出血量50～300ml，术后未发现严重并发症及死亡病例。结论：VATS对GGO病灶切除具有创伤小，效果好，术后恢复快、不留手术疤痕等优点，适合临床长期推广应用。
목적：탐토전시보조흉강경수술（VATS）치료폐부마파리양변（GGO）적림상응용개치。방법：회고분석아원2012년1월－2014년9월경VATS치료적25례GGO병례적림상자료，술전행CT인도하천자정위，술중행흉강경병조절제술，병장병조송쾌속빙동병리검사，근거병리보고선택상응수술방식。기록수술일반정황화술후적병발증정황。결과：병리검사중：량성증생환자13례，악성증생환자12례。소유환자수술순리，수술시간30～120min，술중출혈량50～300ml，술후미발현엄중병발증급사망병례。결론：VATS대GGO병조절제구유창상소，효과호，술후회복쾌、불류수술파흔등우점，괄합림상장기추엄응용。
Objective :To discuss the clinical value of VATS on lung ground‐glass opacity(GGO) .Methods :25 cases of lung GGO from January 2012 to September 2014 in He’xian memorial hospital were located by lung paracentesis guided in CT .After being located ,they were resected with VATS ,and the lesion focal were delivered to rapid pathology .Re‐sults:The results of pathological examination showed 13 patients were benign hyperplasia and 12 patients were malig‐nant hyperplasia .All surgery was successful ,and the operative time was 30~120min .The blood loss was 50~300ml . There was no serious complications or mortality occurred postoperatively .Conclusion:VATS on GGO was safe ,effec‐tive ,and micro‐invasive ,which is worth of being generalized.