摘要
目的探讨CT引导下注射亚甲蓝联合贝朗胶行肺部磨玻璃结节(GGO)术前定位在单孔胸腔镜手术中的应用。方法回顾分析该院2015年6月-2017年10月收治的30例GGO患者的临床资料,术前采用CT引导下注射亚甲蓝联合贝朗胶定位,观察操作的安全性和有效性。结果所有患者均顺利定位,定位时间15~32 min,平均时间(20.1±4.7)min;气胸1例,血气胸1例,无咯血及胸膜反应等严重并发症。28例患者行楔形切除,自置入胸腔镜至取出楔形标本,共用时5~22 min,平均(20.0±4.5)min,2例患者因楔形标本无法确认肿瘤而直接行肺段切除术。所有患者无中转开胸。结论该项操作简便快捷,并发症少,大大缩短了术中探查的时间、减少了切除范围过大、误切及中转开胸的概率,值得进一步推广应用。
Objective To evaluate the clinical value of CT-guided localization with medical glue and coeruleum methylenum injection in treatment of ground-glass opacity(GGO)and pulmonary nodules with uniportal videoassisted thoracoscope surgery(uni-VATS).Methods Retrospective observational data for 30 patients who underwent CT-guided localization with medical glue and coeruleum methylenum injection in department of thoracic surgery from June 2015 till now.Results CT-guided localization with medical glue and coeruleum methylenum was successful in all the patients(100.0%).The time of puncturing was(20.1±4.7)min.There were 1 case of pneumothorax,1 case of hematopneumothorax.None of them had Hemoptysis or pleural reaction.Conclusions CT-guided localization with medical glue and coeruleum methylenum is safe,simple and accuracy.It is a viable technique for GGO localization.
作者
张瑞杰
付向宁
Rui-jie Zhang;Xiang-ning Fu(Department of Thoracic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China)
出处
《中国内镜杂志》
2018年第11期93-96,共4页
China Journal of Endoscopy
