本文選題：肺結(jié)節(jié)　切入點(diǎn)：電視胸腔鏡手術(shù)　出處：《介入放射學(xué)雜志》2017年04期

【摘要】：目的研究肺小結(jié)節(jié)(SPN)胸腔鏡術(shù)前醫(yī)用膠定位的應(yīng)用價(jià)值。方法回顧分析41例孤立性SPN胸腔鏡術(shù)前定位病例資料,包括醫(yī)用膠定位組22例,Hook-wire定位組19例。統(tǒng)計(jì)醫(yī)用膠定位的定位效果、并發(fā)癥、銜接期時(shí)間以及肺楔形切除所用時(shí)間,并將兩組結(jié)果進(jìn)行對(duì)比分析。結(jié)果兩組病例定位均取得成功;醫(yī)用膠組的氣胸發(fā)生率(18.2%)、肺出血發(fā)生率(9.1%)、胸痛發(fā)生率(4.5%)均低于Hook-wire組,其中肺出血發(fā)生率與Hook-wire組比較差異有統(tǒng)計(jì)學(xué)意義(P0.01);醫(yī)用膠組無(wú)并發(fā)癥率(63.6%)高于Hook-wire組(21.1%),差異有統(tǒng)計(jì)學(xué)意義(P0.05);銜接期時(shí)間醫(yī)用膠組(16.32±8.83)h長(zhǎng)于Hook-wire組(3.29±4.21)h,差異有統(tǒng)計(jì)學(xué)意義(P0.01);作楔形切除所用時(shí)間醫(yī)用膠組(21.14±7.01)min與Hook-wire組(18.58±5.22)min差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 SPN胸腔鏡術(shù)前醫(yī)用膠定位安全可靠、效果良好,與Hook-wire定位比較并發(fā)癥發(fā)生率更低,并可獲得更長(zhǎng)的銜接期,具有較高的應(yīng)用價(jià)值。
[Abstract]:Objective to study the application value of medical glue localization before thoracoscopic surgery with SPN.Methods the data of 41 patients with solitary SPN before thoracoscopic localization were retrospectively analyzed, including 22 cases of medical glue localization group (22 cases) and 19 cases of Hook-wire localization group (19 cases).The localization effect, complications, the time of convergence and the time of wedge resection of lung were analyzed and compared between the two groups.Results the incidence of pneumothorax, pulmonary hemorrhage, chest pain and chest pain in the medical glue group were 18. 2%, 9. 1% and 4. 5%, respectively, which were lower than those in the Hook-wire group.The incidence of pulmonary hemorrhage in the medical glue group was significantly higher than that in the Hook-wire group (P 0.05), and in the medical glue group was 16.32 鹵8.83 hours longer than that in the Hook-wire group (3.29 鹵4.21 h), and the difference was statistically significant (P 0.01), and the incidence of pulmonary hemorrhage was significantly higher in the medical glue group than that in the Hook-wire group (P 0.01), and the incidence of pulmonary hemorrhage was significantly higher in the medical glue group than in the Hook-wire group (P < 0.01), while the incidence of pulmonary hemorrhage in the medical glue group was significantly higher than that in the Hook-wire group (P 0.05).The time used for wedge resection was 21.14 鹵7.01)min in the medical glue group and 18.58 鹵5.22)min in the Hook-wire group. There was no significant difference between the two groups (P 0.05).Conclusion the localization of medical glue before SPN thoracoscopy is safe, reliable and effective. Compared with Hook-wire, the incidence of complications is lower, and a longer connecting period can be obtained. It has a higher application value.
【作者單位】： 紹興市人民醫(yī)院放射科;紹興市人民醫(yī)院胸外科;
【基金】：浙江省自然科學(xué)基金(LY16H180006) 浙江省醫(yī)藥衛(wèi)生平臺(tái)研究計(jì)劃(骨干人才A類)(2015RCA024)
【分類號(hào)】：R734.2

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