移动CT联合基础麻醉在单孔胸腔镜肺部手术术前肺结节定位中的应用

Application of mobile CT combined with basic anesthesia in locating pulmonary nodules before uniportal thoracoscopic lung surgery

目的评估移动CT联合基础麻醉在单孔胸腔镜肺部手术术前肺结节定位中的可操作性及安全性。方法回顾性分析2022年10月至2022年11月南京医科大学附属脑科医院接受胸腔镜肺部手术前CT引导定位的72例患者的临床资料,按定位方式将其分为A、B两组,局部麻醉下定位的36例患者为A组,基础麻醉下定位的36例患者为B组。比较两组患者临床资料及定位相关资料。结果B组的定位时间短于A组[(12.75±3.45)min vs(15.00±5.62)min,t=2.047,P=0.045],定位成功率高于A组(100.0%vs 83.3%,χ^(2)=4.545,P=0.033),调针次数少于A组[0(0,0)次vs 0(0,1)次],定位过程中的疼痛评分低于A组[1(0,2)分vs 3(1,5)分],差异有统计学意义(P<0.05)。结论移动CT联合基础麻醉下肺结节穿刺定位相较于以往的局部麻醉下肺结节穿刺定位,定位时间短,成功率高,患者疼痛感减轻,该方法安全可靠,具有一定的临床应用价值。

Objective To evaluate the operability and safety of mobile CT combined with basic anesthesia in locating pulmonary nodules before uniportal thoracoscopic lung surgery.Methods The clinical data of 72 patients who underwent CT-guided localization before thoracoscopic lung surgery in The Affiliated Brain Hospital of Nanjing Medical University from October 2022 to November 2022 were analyzed.They were divided into group A and group B according to the positioning method.Patients located under local anesthesia were classified as group A(n=36),patients located under basic anesthesia were classified as group B(n=36).The clinical data of the two groups were compared.Results Compared with group A,in group B,the positioning time was shorter[(12.75±3.45)min vs(15.00±5.62)min,t=2.047,P=0.045],the success rate of positioning was higher(100.0%vs 83.3%,χ^(2)=4.545,P=0.033),the number of needle adjustments was less[0(0,0)vs 0(0,1)],and the pain score during the positioning process was lower[1(0,2)vs 3(1,5)],with statistically significant differences(P<0.05).Conclusion Compared with previous local anesthesia,mobile CT combined with basic anesthesia for pulmonary nodules puncture positioning has shorter positioning time,higher success rate and reduced pain sensation of patients,indicating that this method is safe and reliable and worthy of further clinical application.