在VATS之前CT引导的肺结节微线圈定位:在1059名患者的临床经验
Libao Hu1, Jian Gao2, Nan Hong3
1Department of Radiology, Peking University People's Hospital, No. 11 Xizhimen South Avenue, Beijing, China.
European radiology
|September 1, 2023
概括
在视频辅助胸腔镜手术 (VATS) 之前,CT引导的微线圈定位肺结节是有效和安全的. 这种技术准确地引导外科医生准结节,改善肺癌患者的治疗结果.
科学领域:
- 肺部医学 肺部医学
- 胸部外科手术 胸部外科手术
- 医疗成像医学成像
背景情况:
- 精确地定位肺结节对于视频辅助胸腔镜手术 (VATS) 的成功至关重要.
- 计算机断层扫描 (CT) 引导的技术提供了在手术前精确的结节识别的潜力.
研究的目的:
- 评估CT导向微线圈定位用于肺结节的疗效和安全性.
- 评估这种手术前定位方法的技术成功率和并发症概况.
主要方法:
- 追溯分析1059名患有1331个肺结节的患者,接受CT引导的微线圈定位.
- 使用带尾或无尾微线圈方法将结节局部化.
- 分析了技术成功,并发症率以及失败和不良事件的风险因素.
主要成果:
- 在微线圈定位方面,实现了高达98.4%的技术成功率.
- 肺胸炎 (22.7%) 和肺出血 (24.6%) 是最常见的并发症,大多是轻微的.
- 结节位置,针道长度,输血穿刺和多重局部被确定为并发症的危险因素.
结论:
- 在VATS之前,CT引导的微线圈定位是一种有效和安全的方法,用于肺结节.
- 这种技术即使对于需要输血穿刺或同时多个局部化的结节也是可行的.
- 这种方法提高了手术精度和胸部手术患者的结果.
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