肺部小结节手术定位研究进展

Research progress of surgical localization of small pulmonary nodules

随着高分辨率CT的普及及大众体检意识的增强,肺部小结节(SPN)的检出率越来越高,而SPN常为肺部恶性肿瘤的早期表现,需尽早手术切除。电视胸腔镜手术因其创伤小、恢复快已成为肺小结节治疗的标准术式,但常因SPN体积小、位置深、质地软使胸腔镜下难以对其精确定位;因此,如何精准、快速定位成为SPN诊治近年来研究的热点。本文就SPN术前、术中定位方法的研究进展进行综述。

With the popularization of high-resolution computed tomography and the enhancement of public awareness for health physical examination,the detection rate of small pulmonary nodule(SPN)increases year by year.SPN is often the early manifestations of lung cancer,which need to be surgical resection as soon as possible.Video-assisted thoracoscopic surgery has become the standard operation for the treatment of SPN because of its small trauma and quick recovery.However,SPN is difficult to be accurately located because of its small size,deep location and soft texture.Therefore,how to accurately and quickly locate SPN has become a hot research topic for diagnosis and treatment of SPN in recent years.This article reviews the research progress of preoperative and intraoperative localization methods for SPN.