体表经纬定位法在肺结节胸腔镜手术中的应用效果观察

Observation on application effect of body surface longitude and latitude localization methodin thoracoscopic surgery for pulmonary nodules

目的 分析体表经纬定位法在肺结节胸腔镜手术中的应用效果。方法 选择2021年8月—2022年9月在本院进行胸腔镜手术治疗的肺结节患者82例作为研究对象,随机分为对照组和实验组两组,每组各41例。对照组患者术前采用hook-wire定位法辅助胸腔镜手术进行,实验组患者术前采用体表经纬定位法辅助胸腔镜手术进行。比较分析两组患者定位以及穿刺情况、一次性穿刺成功率、一次性结节切除率以及并发症发生情况。结果 两组患者穿刺深度组间比较,差异无统计学意义(P>0.05)。实验组患者定位所需时间以及肺结节距离定位点的距离均明显小于对照组(P<0.05)。实验组患者一次性穿刺成功率100%(41/41),高于对照组92.68%(37/41);实验组并发症发生率2.44%(1/41),低于对照组14.63%(4/41),差异均有统计学意义(P<0.05)。实验组患者一次性肺结节切除率为97.56%(40/41),与对照组的92.68%(37/41)比较,差异无统计学意义(P>0.05)。结论 应用体表经纬定位法辅助肺结节胸腔镜手术进行,具有定位时间短、定位精准、穿刺成功率高以及低并发症发生率等优势,具有较高的临床推广应用价值。

Objective To analyze the application effect of body surface longitude and latitude positioning in thoracoscopic surgery for pulmonary nodules.Methods A total of 82 patients suffered from pulmonary nodules who underwent thoracoscopic surgery in Chaohu hospital affiliated to Anhui Medical University from August 2021 to August 2022 were selected as study subjects,and they were randomly divided into control group(41 cases) and experimental group(41 cases).Patients in the control group were assisted with hook-wire localization methodbefore surgery,while patients in the experimental group were assisted with body surface longitude and latitude localization methodbefore surgery.The positioning and puncture situation,one-time puncture success rate,one-time nodule resection rate,and complications of the two groups were compared and analyzed.Results A total of 82 patients suffered from pulmonary nodules who underwent thoracoscopic surgery in Chaohu hospital affiliated to Anhui Medical University from August 2021 to August 2022 were selected as study subjects,and they were randomly divided into control group(41 cases) and experimental group(41 cases).Patients in the control groupwere assisted with hook-wire localization methodbefore surgery,while patients in the experimental group wereassisted with body surface longitude and latitude localization methodbefore surgery.The positioning and puncturesituation,one-time puncture success rate,one-time nodule resection rate,and complications of the two groupswere compared and analyzed.Conclusions The application of body surface longitude and latitude positioningmethod to thoracoscopic surgery for pulmonary nodules has the advantages of short positioning time,accuratepositioning,high puncture success rate and low complication rate,and it is of high clinical application value.