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| 肺小结节胸腔镜术前CT引导下Hook-wire定位的临床价值 | |
| 引用本文： | 王升平,李文涛,彭卫军,陈海泉,何新红,李国栋,王标,胡鸿,罗小阳,沈磊,陈颖.肺小结节胸腔镜术前CT引导下Hook-wire定位的临床价值[J].当代医学,2009,15(8). |
| 作者姓名： | 王升平 李文涛 彭卫军 陈海泉 何新红 李国栋 王标 胡鸿 罗小阳 沈磊 陈颖 |
| 作者单位： | 1. 复旦大学附属肿瘤医院放射诊断科,200032,上海 2. 复旦大学附属肿瘤医院胸外科,200032,上海 3. 复旦大学附属肿瘤医院病理科,200032,上海 |
| 摘 要： | 目的评价肺小结节胸腔镜术前CT引导下定位的价值。方法2008年2月到2008年5月共8例患者，9个小结节，行胸腔镜切除术，术前皆行CT引导下Hook—wire定位。评价术前CT引导下Hook—wire定位技术的失败率、并发症、胸腔镜手术转为开胸手术的几率、住院时间等。结果共8个患者行9个结节胸腔镜切除术，术前CT引导下Hook—wire定位成功率100％，并发症发生率33％，转化为开胸手术比率为11％，中位住院时间为5天（2天～25天）。SPNs术后组织学诊断结果为：原发性肺癌4例约44.4％，转移4例约44.4％，炎性病灶1例11.1％。结论不具有典型恶性征象的SPN9约50％以上组织学诊断是恶性的，胸腔镜术前CT引导下Hook—wire定位技术极大减少开胸手术的比率、并发症发生率低，并减少住院时间，对于SPNs的鉴别诊断及治疗具有很好的临床价值。 |
| 关 键 词： | 肺小结节 CT引导下定位 Hook—wire 胸腔镜切除术 |
The Clinic Value of Computed Tomography-guided Localization with a Hook-wire System for Small Pulmonary Nodules before Video-assisted Thoracoscopic Resection |
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| Sheng-ping WANG,Wen-tao LI,Wei-jun PENG,Hai-quan CHEN,Xin-hong HE,Guo-dong LI,Biao WANG,Hong HU,Xiao-yang LUO,Lei SHEN,Ying CHEN.The Clinic Value of Computed Tomography-guided Localization with a Hook-wire System for Small Pulmonary Nodules before Video-assisted Thoracoscopic Resection[J].Contemporary Medicine,2009,15(8). | |
| Authors: | Sheng-ping WANG Wen-tao LI Wei-jun PENG Hai-quan CHEN Xin-hong HE Guo-dong LI Biao WANG Hong HU Xiao-yang LUO Lei SHEN Ying CHEN |
| Institution: | Sheng-ping WANG1,Wen-tao LI1,Wei-jun PENG1,Hai-quan CHEN2,Xin-hong HE1,Guo-dong LI2,Biao WANG1,Hong HU2,Xiao-yang LUO2,Lei-SHEN3,Ying CHEN3 1Department of Radiology,Cancer Hospital,Fudan University,Shanghai 200032,China 2Department of Thoracic Surgery,China 3.Department of Pathology,China |
| Abstract: | Objective To evaluate the value of computed tomography,guided localization with a Hook-wire system for small pulmonary nodules(SPNs) before video-assisted thoracoscopic resection(VATS) in a consecutive series of 8 patients.Methods The records of all patients undergoing VATS resection for SPNs preoperatively localized by CT-guided a hook-wire system from January 2008 to May 2008 were assessed with respect to failure to localize the lesion by the hook-wire system,conversion thoracotomy rate,duration of operat... |
| Keywords: | Hook-wire |
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