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针型胸腔镜在孤立性肺结节诊治中的应用
引用本文:吴昕漪. 针型胸腔镜在孤立性肺结节诊治中的应用[J]. 中华全科医师杂志, 2010, 9(3): 190-191. DOI: 10.3760/cma.j.issn.1671-7368.2010.03.020
作者姓名:吴昕漪
作者单位:福建医科大学附属厦门第一医院胸心外科,361000
摘    要:回顾性分析45例孤立性肺结节患者在针型胸腔镜下完成肺楔形切除的临床资料,其中22例为良性病变,23例为肺癌。手术时间平均为98min,平均出血量82ml,平均住院时间9.9d。无死亡,无严重并发症。说明该手术在鉴别孤立性肺结节性质及治疗方面安全有效,具有明显的微创优势。

关 键 词:硬币病变    胸腔镜

Application of needle video-assisted thoracoscopy in diagnosis and treatment for solitary pulmonary nodule
WU Xin-yi. Application of needle video-assisted thoracoscopy in diagnosis and treatment for solitary pulmonary nodule[J]. Chinese JOurnal of General Practitioners, 2010, 9(3): 190-191. DOI: 10.3760/cma.j.issn.1671-7368.2010.03.020
Authors:WU Xin-yi
Affiliation:WU Xin-yi. (Department of Thoracic and Cardiac Surgery, the First Hospital of Xiamen, Fujian Medical University, 361000, China)
Abstract:Lung wedge resections under needle video-assisted thoracoscopy were performed in 45 casesof SPIN. Those in whom lung cancer was confirmed received pneumonectomy subsequently. Needle video-assisted thoracoscopic surgery was performed successfully in all patients. Pathological examination showedbenign tumors in 22 cases and malignant lesions in 23 cases. For malignant cases radical resection of lunglobe was performed with assisted small auxiliary incision. The operation time was 25 - 180 min; the meanblood lose was less than 200 ml; the length of hospital stay was 3 - 20 d. There were no serious post-operational complications and fatal cases. Needle video-assisted thoracoscopic surgery is of value in diagnosisand treatment of solitary pulmonary nodule with satisfactory therapeutic effects.
Keywords:Coin lesion,pulmonary  Thoracoscopes
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