摘要
目的比较一次性使用肺结节定位针与微弹簧圈在孤立性肺结节胸腔镜术前定位的临床效果。方法将徐州市中心医院2020年5月至2020年12月收治的60例经肺结节电视辅助胸腔镜手术(VATS)的患者设为对照组,术前采用微弹簧圈定位;将2021年1月至2021年8月收治的60例经肺结节VATS的患者设为观察组,术前采用一次性使用肺结节定位针定位,比较两组患者的定位相关结果和手术资料等方面的数据。结果观察组定位术成功率100%(60/60),对照组定位术成功率98.3%(59/60),差异无统计学意义(P>0.05);观察组定位时间(9.4±3.8)min较对照组(16.5±6.3)min短,差异有统计学意义(P<0.05);观察组并发症发生率(10.0%~11.7%)与对照组的(10.0%~13.3%)差异无统计学意义(P>0.05);两组患者胸腔镜手术切除成功率均是100%(60/60),观察组手术时间(87.3±60.7)min少于对照组(92.9±36.7)min,差异无统计学意义(P>0.05)。结论孤立性肺结节VATS前CT引导下一次性使用肺结节定位针与微弹簧圈定位均安全可靠、效果良好,适合临床推广应用;一次性使用肺结节定位针较微弹簧圈定位操作更简单、省时。
ObjectiveTo compare the clinical effect of disposable pulmonary nodule positioning needle and micro-coil in the pre-thoracoscopic positioning of solitary pulmonary nodules.MethodsFrom May 2020 to December 2020,60 patients who underwent thoracoscopic pulmonary nodule resection admitted to Xuzhou Central Hospital were selected as the control group,Micro-coil positioning before surgery,From January 2021 to August 2021,60 patients who underwent thoracoscopic pulmonary nodule resection in our hospital were included in the observation group,Preoperatively use a disposable pulmonary nodule locating needle to locate.The positioning-related results and surgical data of the two groups of patients were compared.ResultsThe positioning success rate of the observation group was 100%(60/60),and the positioning success rate of the control group was 98.3%(59/60),the difference was not statistically significant(P>0.05).The positioning time of the observation group(9.4±3.8)min was shorter than that of the control group(16.5±6.3)min,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group(10.0%~11.7%)and the control group(10.0%~13.3%)were not statistically different(P>0.05).The success rate of thoracoscopic surgery in both groups was 100%(60/60),the operation time of the observation group(87.3±60.7)was less than that of the control group(92.9±36.7),and the difference was not statistically significant(P>0.05).ConclusionsBefore solitary pulmonary nodule thoracoscopic resection,CT-guided disposable pulmonary nodule positioning needle and micro-coil positioning are safe,reliable and effective,suitable for clinical application.Compared with the micro-coil positioning operation,the disposable lung nodule positioning needle is simpler and time-saving.
作者
傅宇飞
黄亚勇
王涛
曹伟
Yufei Fu;Yayong Huang;Tao Wang;Wei Cao(Department of Computed Tomography,Xuzhou Central Hospital,Jiangsu Xuzhou 221009,China)
出处
《中华介入放射学电子杂志》
2022年第3期272-277,共6页
Chinese Journal of Interventional Radiology：electronic edition
关键词
孤立性肺结节
肺结节定位针
微弹簧圈
Solitary pulmonary nodule
Pulmonary nodule positioning needle
Micro-coil
