首页|CT引导下定位针技术在肺磨玻璃结节术前定位中的价值

CT引导下定位针技术在肺磨玻璃结节术前定位中的价值

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目的 探讨CT引导下定位针技术在肺磨玻璃结节(ground glass nodules,GGN)术前定位中的临床价值.方法 收集 2017 年 3 月至 2021 年 12 月南京中医药大学无锡附属医院胸外科收治的 110 例GGN患者的临床资料.于胸腔镜手术前对患者进行CT引导下定位针定位操作,观察其定位准确率以及有效性.结果 110 例患者中,72 例病灶位于肺外侧,穿刺成功 67 例(93.06%),38 例病灶位于肺中外侧,穿刺成功 33 例(86.84%),两者比较差异有统计学意义(P<0.01).肺外侧组定位操作时间、并发症发生率、手术时间、术后拔管时间及住院时间均低于肺中外侧组(P<0.01).以术后病理结果为金标准,CT引导下定位针技术检出的灵敏度、特异度、准确度分别为 90.20%、75.00%、89.09%.结论 术前采用CT引导下定位针技术辅助切除GGN有助于缩短定位操作时间、手术时间、术后拔管时间,降低并发症发生率.
Value of CT-guided needle positioning in preoperative positioning of pulmonary ground glass nodules
Objective To explore the value of CT-guided needle positioning in preoperative localization of pulmonary ground glass nodules(GGN).Methods Clinical data of 110 patients with pulmonary GGN treated in the Wuxi Hospital from March 2017 to December 2021 were collected.Before thoracoscopic surgery,CT-guided needle positioning was conducted,and the accuracy and effectiveness of positioning were observed.Results The lesions were located in the lateral side of the lungs in 72 patients and in the middle lateral sides of the lungs in 38 patients,with the puncture success rates being 93.06%and 86.84%,respectively(P<0.01).The positioning time,incidence of complications,surgical time,extubation time and hospital stay in patients with the lesions located in lateral lungs were lower than those located in middle lateral lungs.Postoperative pathological results were taken as the gold standard,and the sensitivity,specificity,and accuracy of CT-guided needle positioning were 90.20%,75.00%,and 89.09%,respectively.Conclusion Preoperative CT-guided needle positioning can help to shorten the localization time of operation,surgical time and extubation time,and reduce complications.

CT guidancePositioning pinPulmonary ground glass nodulesPositioning value

陈颖、钱涵泓、刘为毛、郁骁、李先华

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214000 江苏 无锡,南京中医药大学无锡附属医院胸外科

CT引导 定位针 肺磨玻璃结节 定位价值

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(4)
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