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电视胸腔镜在肺孤立性结节诊治中的应用 被引量:3

Video assisted thoracoscopy in diagnosis and treatment of the solitary pulmonary nodule
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摘要 目的探讨电视胸腔镜在性质不明的肺孤立性结节中的诊治价值。方法对35例不明原因肺孤立性小结节(直径<3cm)应用胸腔镜技术行肺小结节病灶切除,术中快速冰冻切片,对恶性病变迸一步手术,良性病变则结束手术。结果诊断恶性病变12例,其中11例原发性肺癌行胸腔镜辅助小切口肺癌根治术,1例肺转移癌行病灶切除。23例良性病变(肺炎性假瘤8例,肺错构瘤4例,机化性纤维化结节3例,肺硬化性血管瘤4例,结核瘤3例,肺囊肿1例)仅行病灶切除。35例随访6~30个月,平均24个月,23例良性病变无复发;12例原发肺癌中,10例健康存活,2例分别术后18、30个月死亡。结论胸腔镜手术在诊断不明原因肺孤立性小结节中具有较高的应用价值,可明显提高恶性肿瘤的诊断率,避免长期观察和等待,有助于早期肺癌的诊治。 Objective To study the value of video assisted thoracoseopy (VATS) in the diagnosis and treatment of patient with indeterminate solitary pulmonary nodules. Methods A total of 35 patients with the solitary pulmonary nodules ( 〈 3 cm in diameter) were enrolled in this study. Video assisted thoracoseopy was employed to resect the nodules for rapid frozen sections diagnosis. The patients with a malignant diagnosis were treated further. For those benign cases, surgical treatments were stopped. Results Among the total of cases, 12 were diagnosed with malignant tumor including 11 cases of primary lung cancer, who received radical resection plus mediastinal lymph nodes dissection by video assisted thoracoscopy using small auxiliary incision. 1 case of metastatic lung cancer patients received palliative edged resection of the nodules. The other 23 patients were diagnosed as having benign lesions ( pulmonary inflammatory pseudotumor in 8, hamartoma in 4, fibrotic nodules in 3, pulmonary sclerosing hemangioma in 4, pulmonary tuberculoma in 3, and pulmonary cyst in 1 ). Conclusion Video assisted thoraeoscopy is valuable in diagnosing indeterminate solitary pulmonary nodules. By using the method, the diagnostic rate of malignant tumor can be increased without a long-term observation. It is helpful in the early diagnosis and treatment of pulmonary carcinoma.
出处 《临床肺科杂志》 2009年第8期1010-1011,共2页 Journal of Clinical Pulmonary Medicine
关键词 电视胸腔镜 肺结节 肺癌 video assisted thoracoscopy pulmonary nodule lung cancer
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  • 1刘士远,肖湘生.孤立性肺结节的处理策略[J].中华放射学杂志,2005,39(1):6-8. 被引量:93
  • 2杨力宝,徐书楷,谢召平,施雄文.电视胸腔镜辅助小切口肺癌手术60例临床分析[J].中国煤炭工业医学杂志,2006,9(1):59-60. 被引量:7
  • 3彭光明,蔡祖龙,祝庆孚.空泡征的CT-病理再研究[J].中华放射学杂志,1996,30(6):392-395. 被引量:69
  • 4肖湘生.空泡征的病理基础及其对肺癌早期诊断的价值[J].中华放射学杂志,1988,22:81-84.
  • 5田中学 等.15 mm以下微小周围型肺癌的CT与病理对照研究(日)[J].(国外医学)临床放射学分册,2000,23(1):52-52.
  • 6赵凤瑞.“美国胸外科学会80届年会”简介[J].中华胸心血管外科杂志,2000,16(3):191-192.
  • 7张雪哲,卢延.CT介入放射学.北京:中国技术出版社,1996:16-17
  • 8Li H, Bioselle PM, Shepard JO, et al. Diagnostic accuracy and safety of CT-guided percutaneous needle aspiration bipsy of the lung: comparison of small and large pulmonary nodules. A JR, 1996,167:105~109
  • 9Swensen SJ,Viggian RW, Midthun DE,et al .Lung nodule enhancement at CT :multicenter study[J].Radiology,2000,214(13):73-80.
  • 10Cardillo G,Regal M,Sera F,et al.Videothoracoscopic management of the solitary pulmonary nodule:a single-institution study on 429 cases[J].Ann Thorac Surg,2003,75:1607 ~ 1612.

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  • 1黄浩哲,李文涛,何新红,李国栋,许立超,王英.CT引导下hook-wire定位在肺小结节胸腔镜切除术中的应用价值[J].肿瘤影像学,2013,22(4):309-313. 被引量:16
  • 2Soubani AO. The evaluation and management of the solitary pulmo- nary nodule [ J ]. Postgrad Med J,2008,84 ;459 - 466.
  • 3Santambrogio R, Montorsil M, Bianchi P, et al. lntraoperative ul- trasound during thoracoscopic procedure for solitary pulmonary nodules[J].Ann Thorac Surg, 1999,68 ( 1 ) :218-222.
  • 4Swensen SJ, Jett JR, Hartman TE, et al. Diagnostic approach to the solitary pulmonary nodule [ J]. Sem in Respir Crit Care Med, 2013, 34(6) :762 -769.
  • 5Ettinger DS, Akerley W, Bepler G, et al. Non-small cell lung cancer [J]. Natl Compr Canc Ne, 2008,6(3):228 -269.
  • 6Okami J, Ito Y, Higashiyama M, et al. Sublobar resection pro- vides an equivalent survival after lobectomy in elderly patients with early lung cancer [ J ]. Ann Thorac Surg, 2010, 90 (5) : 1651 - 1656.
  • 7Wahidi MM, Govert JA, Goudar RK, et al. Evidence for the treatment of patients with pulmonary nodules : when is it lung canc- er? ACCP evidence-based clinical practice guidelines (2nd edi- tion) [J]. Chest, 2007, 132(3 Suppl):94S- 107S.
  • 8钱根年,陈炜生,陈自谦,陈龙,荆俊杰.计算机导航定位肺部小结节的临床研究[J].中华实用诊断与治疗杂志,2008,22(7):516-517. 被引量:10
  • 9汪世存,方雷,潘博,展凤麟,谢强,谢吉奎.PET/CT和MSCT联合应用在孤立性肺结节诊断中的价值[J].安徽医药,2009,13(7):760-762. 被引量:17
  • 10姚玉龙,陈自强,徐丽.高分辨螺旋CT对肺孤立性结节的诊断分析[J].临床肺科杂志,2010,15(1):105-106. 被引量:10

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