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电视胸腔镜在肺孤立性结节诊治中的应用
引用本文:韦力,潘毓标,王跃军,吴根社,芦峰,章士刚,莫辉胜.电视胸腔镜在肺孤立性结节诊治中的应用[J].临床肺科杂志,2009,14(8):1010-1011.
作者姓名:韦力  潘毓标  王跃军  吴根社  芦峰  章士刚  莫辉胜
作者单位:广西中医学院附属第三医院心胸外科,广西柳州,545001
摘    要:目的探讨电视胸腔镜在性质不明的肺孤立性结节中的诊治价值。方法对35例不明原因肺孤立性小结节(直径〈3cm)应用胸腔镜技术行肺小结节病灶切除,术中快速冰冻切片,对恶性病变进一步手术,良性病变则结束手术。结果诊断恶性病变12例,其中11例原发性肺癌行胸腔镜辅助小切口肺癌根治术,1例肺转移癌行病灶切除。23例良性病变(肺炎性假瘤8例,肺错构瘤4例,机化性纤维化结节3例,肺硬化性血管瘤4例,结核瘤3例,肺囊肿1例)仅行病灶切除。35例随访6~30个月,平均24个月,23例良性病变无复发;12例原发肺癌中,10例健康存活,2例分别术后18、30个月死亡。结论胸腔镜手术在诊断不明原因肺孤立性小结节中具有较高的应用价值,可明显提高恶性肿瘤的诊断率,避免长期观察和等待,有助于早期肺癌的诊治。

关 键 词:电视胸腔镜  肺结节  肺癌

Video assisted thoracoscopy in diagnosis and treatment of the solitary pulmonary nodule
WEI Li,PAN Yu-biao,WANG Yue-jun,et al.Video assisted thoracoscopy in diagnosis and treatment of the solitary pulmonary nodule[J].Journal of Clinical Pulmonary Medicine,2009,14(8):1010-1011.
Authors:WEI Li  PAN Yu-biao  WANG Yue-jun  
Institution:WEI Li,PAN Yu-biao,WANG Yue-jun,et al Department of Thoracic Surgery,the 3rd Affiliated Hospital of Guangxi,TCM College,Liuzhou,Guangxi 545001,China
Abstract:Objective To study the value of video assisted thoracoseopy(VATS)in the diagnosis and treatment of patient with indeterminate solitary pulmonary nodules. Methods A total of 35 patients with the solitary pulmonary nodules (<3 cm in diameter) were enrolled in this study.Video assisted thoracoseopy was employed to resect the nodules for rapid frozen sections diagnosis. The patients with a malignant diagnosis were treated further. For those benign cases,surgical treatments were stopped. Results Among the total ...
Keywords:video assisted thoracoscopy  pulmonary nodule  lung cancer
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