术前CT引导下定位经全胸腔镜切除肺小结节105例临床分析
Medical Journal of Communications(2012)
Abstract
目的:评价肺小结节胸腔镜下切除术前CT引导下定位的临床意义.方法:肺小结节105例直径≤1cm在全胸腔镜手术前,行CT引导下Hook-wire定位和肺小结节局部注射美甲兰.结果:肺小结节105例患者,105个结节均直径≤1cm,行全胸腔镜下切除术.转行全胸腔镜下肺叶切除57例(54.29%),转常规开胸手术3例(2.86%).术前CT引导下Hook-wire和美甲蓝定位成功率100%.结论:胸腔镜术前CT引导下Hook-wire定位和美甲蓝定位术可互补,减少了术中无法找到结节“误切”可能性,值得临床推广应用.
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