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中华胸部外科电子杂志 ›› 2022, Vol. 09 ›› Issue (02) : 100 -103. doi: 10.3877/cma.j.issn.2095-8773.2022.02.06

肺小结节的精准外科治疗策略

肺小结节定位术概述
唐汉1, 王群1, 谭黎杰1, 葛棣1, 袁云锋1,()   
  1. 1. 200032 上海,复旦大学附属中山医院胸外科
  • 收稿日期:2022-04-13 修回日期:2022-05-07 接受日期:2022-05-20 出版日期:2022-05-28
  • 通信作者: 袁云锋

Overview of pulmonary nodules positioning methods

Han Tang1, Qun Wang1, Lijie Tan1, Di Ge1, Yunfeng Yuan1,()   

  1. 1. Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
  • Received:2022-04-13 Revised:2022-05-07 Accepted:2022-05-20 Published:2022-05-28
  • Corresponding author: Yunfeng Yuan
引用本文:

唐汉, 王群, 谭黎杰, 葛棣, 袁云锋. 肺小结节定位术概述[J]. 中华胸部外科电子杂志, 2022, 09(02): 100-103.

Han Tang, Qun Wang, Lijie Tan, Di Ge, Yunfeng Yuan. Overview of pulmonary nodules positioning methods[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2022, 09(02): 100-103.

随着胸部CT的普及,越来越多的疑似恶性的肺结节被发现,而这些结节需要及时的进行手术干预来处理,其精准定位是手术成败的关键。目前的定位的方法主要为CT引导下经皮穿刺定位、磁导航气管镜定位、解剖定位和超声定位等,定位材料包括钩线、微弹簧圈、染色剂、生物胶等。但是,目前的定位方法都存在一定的问题,无法用一种方法解决全部结节。因此,总结分析各种定位方法的适应条件,对不同位置的肺小结节选择合适的定位方法变得尤为重要,也是手术成功的关键。

With the widespread use of chest computed tomography (CT) in physical examination, more and more potential malignant pulmonary nodules are detected. For those nodules that required surgical intervention, localizing the nodules precisely is the key to the success of the surgery. At present, many positioning methods are in use, such as CT-guided percutaneous localization, electromagnetic navigation bronchoscopy positioning, anatomical positioning and intraoperative ultrasonography positioning, and the localization materials include hook-wire, microcoils, colouring agents, biomedical glue and so on. However, there are instinct flaws among these multiple methods. Therefore, it is of great importance to summarize the indications of these methods so as to select appropriate one for certain pulmonary nodules.

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