影像研究与医学应用2024,Vol.8Issue(4) :14-16.

术前CT引导穿刺定位辅助胸腔镜手术治疗肺小结节的效果及对定位相关并发症的影响

The effect of preoperative CT guided puncture localization assisted thoracoscopic surgery for small pulmonary nodules and its impact on location-related complications

孙毅 李丽 刘长清 王玉国
影像研究与医学应用2024,Vol.8Issue(4) :14-16.

术前CT引导穿刺定位辅助胸腔镜手术治疗肺小结节的效果及对定位相关并发症的影响

The effect of preoperative CT guided puncture localization assisted thoracoscopic surgery for small pulmonary nodules and its impact on location-related complications

孙毅 1李丽 2刘长清 1王玉国3
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作者信息

  • 1. 临沂市中心医院胸外科 山东 临沂 276400
  • 2. 临沂大学沂水校区校医院 山东 临沂 276400
  • 3. 临沂市中心医院放疗科 山东 临沂 276400
  • 折叠

摘要

目的:探讨术前CT引导穿刺定位辅助胸腔镜手术治疗肺小结节的效果及对定位相关并发症的影响.方法:选取2021年7月—2023 年 7 月临沂市中心医院收治的 84 例行胸腔镜手术的肺小结节患者,根据术前定位方法不同分对照组(42 例)和研究组(42 例),前者采取传统术前体表定位,后者则接受术前CT引导穿刺定位.比较两组定位及手术情况,并对比两组定位相关并发症的发生情况.结果:相较对照组,研究组定位准确率(95.24%)、手术成功率(97.62%)明显更高,穿刺、术后引流时间明显更短,穿刺深度明显更优,定位相关并发症总发生率(2.38%)明显更低(P<0.05).结论:术前CT引导穿刺定位辅助胸腔镜手术治疗肺小结节可明显提高其定位准确率,增加手术成功率,促使手术更顺利进行,并有效降低定位相关并发症发生风险,具推广价值.

Abstract

Objective To explore the effectiveness of preoperative CT guided puncture localization assisted thoracoscopic surgery for the treatment of small pulmonary nodules and its impact on location-related complications.Methods 84 patients with pulmonary nodules who underwent thoracoscopic surgery from July 2021 to July 2023 were selected and divided into a control group(42 cases)and a study group(42 cases)based on different preoperative localization methods.The former received traditional preoperative body surface localization,while the latter received preoperative CT guided puncture localization,to compare the positioning and surgical conditions between the two groups,and to compare the incidence of positioning related complications between the two groups.Results Compared with the control group,the study group had significantly higher positioning accuracy(95.24%)and surgical success rate(97.62%),significantly shorter puncture and postoperative drainage time,significantly better puncture depth,and significantly lower overall incidence of location-related complications(2.38%)(P<0.05).Conclusion Preoperative CT guided puncture localization assisted thoracoscopic surgery for small pulmonary nodules can significantly improve its localization accuracy,increase the success rate of surgery,promote smoother surgery,and effectively reduce the risk of location-related complications,which has promotional value.

关键词

CT引导穿刺定位/胸腔镜手术/肺小结节/定位效果/并发症

Key words

CT guided puncture localization/Thoracoscopic surgery/Small pulmonary nodules/Positioning effect/Complications

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出版年

2024
影像研究与医学应用

影像研究与医学应用

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参考文献量12
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