| 梁志刚,王龙飞,励新健.胸腔镜下基于胸腔内解剖结构结合钟表法术中定位肺结节的临床应用[J].肿瘤学杂志,2021,27(9):735-741. |
| 胸腔镜下基于胸腔内解剖结构结合钟表法术中定位肺结节的临床应用 |
| Clinical Application of Thoracoscopic Lung Nodules Localization Technique Using Chest Clock and Intrathoracic Anatomical Marks |
| 投稿时间：2021-06-16 |
| DOI：10.11735/j.issn.1671-170X.2021.09.B007 |
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| 中文关键词: 肺结节 电视辅助 钟表式解剖定位法 CT引导下Hookwire定位法 |
| 英文关键词:pulmonary nodule video-assisted thoracic surgery localization by intrathoracic anatomical marks and chest clock CT-guided Hookwire localization |
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| 中文摘要: |
| 摘 要：［目的］ 探讨胸腔镜下基于胸腔内解剖结构结合钟表法术中定位肺结节（以下简称钟表式解剖定位法）在肺结节切除术中的安全性和可靠性。［方法］ 收集2020年12月至2021年5月行胸腔镜下肺结节切除术患者的临床资料，共50例患者（71枚肺结节）。所有患者肺结节定位采用术中钟表式解剖定位法或术前CT引导下Hookwire定位法，或者两种方法联合完成。［结果］ 47枚结节采用术中钟表式解剖定位法，成功率93.6%； 24枚结节采用术前Hookwire定位法，成功率95.8%。采用术中钟表式解剖定位法的平均定位所需时间明显短于Hookwire定位［（3.0±2.8） min vs （19.3±3.7） min，P＜0.001］；找结节所需平均时间两种方法无明显差异［（3.5±3.7） min vs （2.2±1.6） min，P=0.057］。［结论］ 术中钟表式解剖定位法是一种安全、无创、高效、可靠、易推广的肺结节定位方法，具有较高的成功率和较少的并发症，尤其对于需同期切除多个肺结节的患者有其优势，具有良好的临床应用价值和前景。 |
| 英文摘要: |
| Abstract：［Objective］ To investigate the feasibility and safety of localization by intrathoracic anatomical marks and chest clock(LIAMCC) for lung nodules in video-assisted thoracic surgery(VATS) . ［Methods］ We retrospectively reviewed clinical data of patients who underwent VATS lung resection from December 2020 to May 2021 in Ningbo First Hospital. A total of 50 patients(71 lung nodules) were included in this study. All of patients in this study underwent wedge or segmental resection using LIAMCC or CT-guided Hookwire localization. ［Results］ Localization of 47 pulmonary nodules used LIAMCC. The success rate was 93.6%. Twenty-four patients(24 nodules in total) used the preoperative CT-guided Hookwire localization and the success rate was 95.8%. The average time required to locate each nodule by means of LIAMCC was significantly shorter than the time required for Hookwire localization ［（3.0±2.8） min vs （19.3±3.7） min， P＜0.001］. The average time to find nodules was not significantly different in both methods［（3.5±3.7） min vs （2.2±1.6） min， P=0.057］. ［Conclusion］ LIAMCC is a safe and feasible method for pulmonary nodule localization. It has a higher success rate， fewer complications and reliable curative effects. LIAMCC has its advantages， especially for those patients with multiple pulmonary nodules requiring simultaneous resection. It is worthy of popularization and application. |
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