该论文来源于网络,本站转载的论文均是优质论文,供学****和研究使用,文中立场与本网站无关,版权和著作权归原作者所有,如有不愿意被转载的情况,请通知我们删除已转载的信息,如果需要分享,请保留本段说明。 [摘要] 目的 評估电视胸腔镜手术(VATS)术前行CT引导下Hook-wire定位对治疗同时性多原发性肺癌(SMPLC)的有效性及安全性。 方法 回顾性分析自2011年2月~2016年12月,东南大学附属江阴市人民医院胸外科收治的SMPLC患者47例,所有患者均在CT引导下留置Hook-wire定位针,并行VATS切除病灶,根据术中冰冻病理结果决定进一步手术方式。统计定位准确率、VATS切除成功率、并发症发生率等。 结果 47例SMPLC患者中,单侧SMPLC患者19例,双侧SMPLC患者28例。CT引导下带钩钢丝定位成功率为100%,定位时间为(±)min。患者定位后发生少量气胸(肺压缩<20%)7例(%),无需处理。定位过程中发生中等量气胸(肺压缩≥20%)4例(%),在手术过程中发生对侧气胸2例(%),VATS探查过程中出现少量出血(≤50 mL)2例(%),均未出现进行性血胸,未找到病理标本1例(%),中转开胸手术2例(%)。所有患者均为未发现定位针移位和脱落。 结论 术前CT引导下Hook-wire定位准确、安全、并发症少,对SMPLC的VATS诊治具有良好的临床价值。 [关键词] 同时性多原发性肺癌;Hook-wire;电视胸腔镜手术;CT扫描 [中图分类号] [文献标识码] A [文章编号] 1673-7210(2019)04(b)-0081-04 Diagnostic and therapeutic value of preoperative CT-guided Hook-wire localization for synchronous multiple primary lung cancer YU Guiping1 SHAN Yibo1 HUANG Bin1 JIANG Gening2 of Cardiothoracic Surgery, Jiangyin People′s Hospital Affiliated to Southeast University, Jiangsu Province, Jiangyin 214400, China; of Cardiothoracic Surgery, Shanghai Pulmonary Hospital, Shanghai 200433, China [Abstract] Objective To evaluate the efficacy and safety of CT-guided Hook-wire localization in the treatment of synchronous multiple primary lung cancer (SMPLC) before video-assisted thoracoscopic surgery (VATS). Methods From February 2011 to December 2016, 47 patients with SMPLC admitted to the thoracic surgery department of Jiangyin People′s Hospital Affiliated to Southeast University were retrospectively analyzed. All patients were treated with Hook-wire localization needle under CT guidance, and VATS was performed to remove the lesions. Further surgical methods were determined according to the frozen pathological results during the operation. Positioning accuracy, the success rate of VATS lung lesion resection surgery, postoper