摘要
目的研究新型专用定位弹簧圈与传统微弹簧圈在肺小结节胸腔镜术前定位中的临床价值。方法回顾性分析2018年4月至2018年12月行胸腔镜下肺组织切除术的48例肺小结节患者的临床资料,23例患者行新型专用弹簧圈术前定位,25例患者行传统微弹簧圈术前定位。记录分析患者穿刺次数、定位成功率、定位时间及CT扫描次数,统计术后并发症及术后病理结果等数据;分析比较两组定位方式统计学差异性。结果新型专用定位弹簧圈定位成功23例,成功率100%,传统微弹簧圈胸腔镜术前定位成功24例,成功率96.0%。两组成功率差异无统计学意义(P=0.332);新型定位弹簧圈与传统弹簧圈定位并发症发生率差异有统计学意义(P<0.05);新型定位弹簧圈与传统弹簧圈差异有统计学意义(P<0.05)定位CT扫描次数及定位时间差异有统计学意义(P<0.05);新型定位弹簧圈与传统弹簧圈定位穿刺次数无明显统计学差异(P>0.05)。结论新型专用定位弹簧圈定位相比传统微弹簧圈定位穿刺损伤更小、操作简单快捷、定位可靠不易脱落,值得临床推广。
Objective To discuss the clinical value of new special positioning coils and traditional microcoils in preoperative localization of small pulmonary nodules before thoracoscopic pneumonectomy.Methods The clinical data of 48 patients with small pulmonary nodules, who underwent thoracoscopic pneumonectomy at the First Affiliated Hospital of Bengbu Medical College of China during the period from April 2018 to December 2018, were retrospectively analyzed. Preoperative localization of small pulmonary nodules was performed by using new special positioning coils in 23 patients(new coil group) and by using traditional microcoils in 25 patients(control group). The number of puncturing times, the success rate of nodule localization, the time spent for locating procedure and the number of CT scan times were recorded and analyzed. The data of postoperative complications and pathological results were statistically analyzed, and the two methods of nodule localization were compared. Results In the new coil group successful nodule localization was achieved in all 23 patients with a success rate of 100%, which in the control group was 96.0%(24/25),the difference between the two groups was not statistically significant(P=0.332). The difference in the total incidence of complication between the two groups was statistically significant(P<0.05). Statistically significant differences in the time spent for locating procedure and the number of CT scan times existed between the two groups(P<0.05), while no statistically significant difference in the number of puncturing times existed between the two groups(P>0.05). Conclusion Compared with traditional microcoil, in performing localization of pulmonary nodules the use of new special positioning coil has several advantages such as less puncturing injury, simple and fast operation, reliable localization of nodule and uneasy to falling off. Therefore, this technique is worthy popularizing in clinic practice.(J Intervent Radiol, 2021, 30: 470-474)
作者
李伍好
张广东
许红
谢波
LI Wuhao;ZHANG Guangdong;XU Hong;XIE Bo(Department of Interventional Radiology,First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui Province 233004,China)
出处
《介入放射学杂志》
CSCD
北大核心
2021年第5期470-474,共5页
Journal of Interventional Radiology
基金
安徽省教育厅自然科学研究重点项目(KJ2018A1020)。
关键词
肺小结节
新型专用定位技术
微弹簧圈
small pulmonary nodule
new special positioning technology
microcoil
