首页|肺结节定位针在胸腔镜手术中的应用研究

肺结节定位针在胸腔镜手术中的应用研究

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目的:分析肺结节定位针在胸腔镜手术中的应用价值.方法:将2021年1月~2022年6月本院98例肺结节患者作为此次研究对象,组别划分依据为患者是否采取术前CT引导下肺结节定位针穿刺定位,对照组患者49例,接受常规检查+胸腔镜手术治疗,实验组患者49例,接受常规检查+术前CT引导下肺结节定位针穿刺定位+胸腔镜手术治疗.比较两组并发症发生情况、围手术期相关指标、术后1年复发率;统计实验组定位时间与定位成功率.结果:实验组并发症发生率与对照组相比更低(P<0.05);实验组楔形切除时间、手术时间、术后住院时间、术后置管时间均短于对照组,术中出血量、术后24h胸管引流量低于对照组(P<0.05);实验组术后1年无复发,对照组术后1年复发率为10.20%,组间对比差异显著(P<0.05);实验组49例患者肺结节平均定位时间为(25.67±3.52)min,定位成功例数为49例,定位成功率为100.00%.结论:肺结节定位针在胸腔镜手术中具有较高的应用价值,可在术中准确识别肺结节,有利于改善预后.
Application of Pulmonary Nodule Localization Needle in Thoracoscopic Surgery
Objective:To analyze the application value of pulmonary nodule localization needle in thoracoscopic surgery.Methods:98 patients with pulmonary nodules in our hospital were selected as subjects of this study.The sample was selected from January 2021 to June 2022.The group was divided according to whether the patients received preoperative CT-guided pulmonary nodule positioning needle puncture.49 patients in the control group received routine examination + thoracoscopic surgery,while 49 patients in the experimental group received routine examination + preoperative CT-guided pulmonary nodule positioning needle puncture + endoscopic surgery.The incidence of postoperative complications,perioperative related indexes and recurrence rate 1 year after surgery were compared between the two groups.The positioning time and success rate of the experimental group were analyzed.Results:The complication rate of experimental group was lower than control group(P<0.05).The wedge-shaped resection time,operation time,postoperative hospitalization time and postoperative catheterization time of the experimental group were all shorter than control group.Intraoperative blood loss,thoracic drainage volume 24h after surgery were lower than control group(P<0.05).The experimental group had no recurrence 1 year after surgery,while the control group had a recurrence rate of 10.20%1 year after surgery,the difference was significant(P<0.05).The average locating time of pulmonary nodules in 49 patients in the experimental group was(25.67±3.52)min,and the number of successful locating cases was 49,with a success rate of 100.00%.Conclusion:Pulmonary nodule positioning needle has high application value in thoracoscopic surgery,can accurately identify pulmonary nodule during surgery,is conducive to improving the prognosis.

location of pulmonary nodulesCT guidancepulmonary nodulesthoracoscopic surgery

黄仁华

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盐城市第二人民医院胸外科(江苏 盐城 224000)

肺结节定位 CT引导 肺结节 胸腔镜手术

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(8)
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