在亚固体肺结节中对线和微线圈的术前定位进行比较:回顾性分析
1Department of Nuclear Medicine, Minimally Invasive Intervention and Radioactive Particle Therapy Center, The First Affiliated Hospital of the Army Medical University, Chongqing, 400038, China.
Clinical radiology
|January 30, 2025
概括
在VATS之前,使用线或微线圈在手术前定位亚固体肺结节,显示出相似的有效性. 微线圈为肺叶切除术提供较低的并发症率和较短的手术时间,尽管局部化时间较长.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 亚固体肺结节越来越多地通过CT扫描检测到.
- 视频辅助胸腔镜手术 (VATS) 是这些结节的标准治疗方法.
- 有效的手术前定位对于成功的VATS至关重要.
研究的目的:
- 为了比较绳和微线圈定位技术在VATS之前对亚固体肺结节的有效性.
- 评估局部化成功率,并发症发生率和手术结果.
主要方法:
- 一项比较性研究涉及342名患有单独亚固体肺结节的患者.
- 在VATS之前,患者接受了CT引导的穿皮定位,使用线 (107名患者) 或微线圈 (235名患者).
- 分析了定位指标,手术并发症和VATS结果.
主要成果:
- 在绳 (92.52%) 和微线圈 (96.17%) 组中,定位成功率相似.
- 绳组的局部化和手术前时间较短,但并发症率较高 (48.60%对31.49%).
- 肺叶切除术是主要的手术;微线圈组的手术时间较短.
结论:
- 线和微线圈技术都有效用于在VATS之前手术前定位亚固体肺结节.
- 微线圈技术与肺叶切除术的并发症率降低和手术时间缩短有关,尽管局部化持续时间较长.
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