Preoperative CT-guided biopsy combined methylene blue staining Hookwire positioned thoracoscopic treatment of solitary pulmonary nodules applications
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目的：探讨术前CT引导Hookwire穿刺联合亚甲蓝染色定位在胸腔镜治疗孤立性肺结节病变的临床价值。方法：我院92例共108枚孤立性肺结节，行术前CT引导Hookwire穿刺联合亚甲蓝染色定位，后行胸腔镜下楔形切除术。若为原发性肺癌，行肺叶切除术加系统性淋巴结清扫术。统计穿刺定位时间、并发症、肺楔形切除术时间、出血量等。结果：穿刺定位时间10-25m i n，平均14m i n，气胸（18/92），胸膜反应（3/92），少量咯血（4/92），肺楔形切除时间5-20m i n，平均10min，出血量5-20ml。结论：CT引导Hookwire穿刺联合亚甲蓝染色定位可提高VATS下SPNs切除的成功率，并发症少，经济方便，在临床有很大的应用价值。
Objective To evaluate the preoperative CT-guided biopsy combined methylene blue staining Hookwire positioned thoracoscopic treatment of solitary pulmonary nodules clinical value. Methods: 92 cases in our hospital 108 meter solitary pulmonary nodules, preoperative CT-guided biopsy combined methylene blue staining Hookwire positioning, underwent thoracoscopic wedge resection. For primary lung cancer, lobectomy plus systematic lymphadenectomy. Statistics puncture positioning time, complications, pulmonary wedge resection time, blood loss and so on. The results puncture positioning time 10 -25min, an average of 14min, pneumothorax (18/92), pleural reaction (3/92), a smal amount of hemoptysis (4/92), pulmonary wedge resection time 5 -20min, an average of 10min, bleeding 5-20ml . Conclusion CT-guided biopsy combined methylene blue staining Hookwire positioned under VATS SPNs resection may improve the success rate, fewer complications, economical, convenient, great clinical value.
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