不同定位方式在肺结节胸腔镜切除术中的临床应用价值研究
The clinical application value of different localization methods in thoracoscopic resection of pulmonary nodules
高绍 1韩晓亮 1王亮 1姚克林 1夏家栋1
作者信息
- 1. 312000 浙江绍兴 绍兴文理学院附属医院放射科
- 折叠
摘要
目的 比较医用胶及一种新型医用锚定定位针在肺结节胸腔镜切除术中的临床应用价值.方法 选取 2020 年 1 月至 2022 年 12 月在我院胸外科因肺部结节行电视胸腔镜手术(VATS)的患者共182 例.术前均对肺部手术结节行CT引导下定位,其中采用医用胶定位 89 例,锚定针定位 93 例.观察并记录两组患者在定位过程中的气胸、出血发生率,统计定位时间、定位-手术衔接时间、手术时间及定位过程中产生的辐射剂量,并做统计学分析.结果 锚定针组定位成功率为 100%(93/93),医用胶组定位成功率为 96.7%(86/89),两组间差异无统计学意义(P＞0.05).锚定针组出血发生率为 31.2%(29/93),医用胶组为 15.7%(14/89),两组间差异具有统计学意义(P＜0.05).锚定针组气胸发生率为 30.1%(28/93),医用胶组为 20.2%(18/89),两组间差异无统计学意义(P＞0.05).两组间手术时间比较无统计学差异(P＞0.05),医用胶组定位时间、定位-手术衔接时间长于锚定针组,同时辐射剂量高于锚定针组,两组间差异均具有统计学意义(P＜0.05).结论 针对磨玻璃结节(GGO)或孤立性结节(SPN)等结节术前定位,医用胶及锚定针两种定位方式均有较高的临床应用价值,临床及介入医师在工作中可根据患者实际情况,选择合适的定位方式.
Abstract
Objective To compare the clinical application value of medical glue and a new-type medical anchor positioning needle in thoracoscopic resection of pulmonary nodules.Methods A total of 182 patients with pulmonary nodules,who received video-assisted thoracic surgery(VATS)at the Department of Thoracic Surgery of Affiliated Hospital of Shaoxing University of China between January 2020 and December 2022,were enrolled in this study.Preoperative CT-guided localization of the pulmonary nodule was performed in all patients,including medical glue positioning in 89 patients(medical glue group)and anchor needle positioning in 93 patients(anchor needle group).The incidences of pneumothorax and bleeding,the time spent for positioning,the interval between localization and operation,the time spent for operation,and the radiation dose during localization process were recorded and the data were statistically analyzed.Results The success rate of positioning was 100％(93/93)in the anchor needle group and 96.7％(86/89)in the medical glue group.There was no statistically significant difference between the two groups(P>0.05).The incidence of bleeding was 31.2％(29/93)in the anchor needle group and 15.7％(14/89)in the medical glue group,and the difference between the two groups was statistically significant(P<0.05).The incidence of pneumothorax was 30.1％(28/93)in the anchor needle group and 20.2％(18/89)in the medical glue group,and there was no significant difference between the two groups(P>0.05).No statistically significant difference in the time spent for operation existed between the two groups(P>0.05).The time spent for positioning and the interval between localization and operation in the medical glue group were longer than those in the anchor needle group,and the radiation dose in the medical glue group was higher than that in the anchor needle group,and the differences between the two groups were statistically significant(P<0.05).Conclusion For the preoperative localization of ground glass opacity(GGO)or solitary pulmonary nodule(SPN),both medical glue positioning method and anchor needle positioning method have high clinical application value.The clinical and interventional physicians should adopt appropriate positioning method according to the patient's condition.
关键词
肺结节/医用胶/锚定针/电视胸腔镜Key words
pulmonary nodule/medical glue/anchoring needle/video-assisted thoracoscopic surgery引用本文复制引用
基金项目
2022年绍兴市卫生健康科技计划(2022KY070)
出版年
2024
NETL
NSTL
万方数据