CT引导下肺小结节胸腔镜术前微弹簧圈定位.pdfVIP

影像引导介入治疗 ．．407．— CT引导下肺小结节胸腔镜术前微弹簧圈定位 鲁东1 吕维富1 徐世斌2 柯立2 徐美青2 【摘要】目的：探讨CT引导下微弹簧圈定位在肺小结节胸腔镜切除术前的应用价值。方法：对54例共63 个肺内小结节VATS术前行CT引导下微弹簧圈定位。分析该定位方法的操作时间、成功率、并发症发生率 及术后病理结果。结果：CT引导下微弹簧圈定位成功率100％，VATS术中2例脱落。穿刺定位操作时间为 形切除成功率96．3％(52／54)。术后病理显示恶性结节43个，良性结节20个。结论：在肺小结节胸腔镜 切除术前给予CT引导下微弹簧圈定位，准确率高，严重并发症发生率低，是一种安全、有效的定位方法， 可有效指导VATS手术，进而提高SPNs的临床诊疗水平。 【关键词】肺小结节；微弹簧圈；术前定位；电视胸腔镜手术；介入放射学 中图分类号：R814．42文献标志码：A 文章编号：1006．5741(2016)．05．0407．05 Valueof PlacementofMicro-coils CT-guided prior toVideo-assisted forSmall Nodules ThoracoscopicSurgery SolitaryPulmonary LU Don91，LVWei—ful，XUShi—bin2，KELi2，XUMei—qiIl矿 valueof ofmicro-coilstovideo—assisted the 【Abstract】Purpose：Toinvestigate CT-guidedplacement prior small micro·coilswere thoracoscopicsurgery(VATS)forsolitarypulmonarynodules(SPNs)．Methods：Theplaced toVATS CTin54 with63smallSPNs．The of prior guidedby patients operationtime，successiverate，incidence and resultswere successiverateof complicationspostoperativepathological analyzed．Results：The CT-guided ofmicro-coilswas1 themicro-coilswere in2cases VATS placement 00％，and displaced during operation．The time incidenceof was was was(16．814-2．96)min．The