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肺小结节术前CT引导下亚甲蓝定位的临床应用

林志潮 伍硕允 叶敏 林坚 卢珠明 庞文广 黄文海 庞景灼

中山大学学报(医学科学版)2013,Vol.34Issue(3):456-460,5.
中山大学学报(医学科学版)2013,Vol.34Issue(3):456-460,5.

肺小结节术前CT引导下亚甲蓝定位的临床应用

CT-guided Preoperative Localization for Small Solitary Pulmonary Nodules with Methylene Blue in Video-assisted Thoracic Surgery

林志潮 1伍硕允 1叶敏 1林坚 1卢珠明 1庞文广 1黄文海 1庞景灼1

作者信息

  • 1. 江门市中心医院//中山大学附属江门医院胸外科,广东江门529030
  • 折叠

摘要

Abstract

[Objectives] To evaluate the efficiency and safety of CT-guided preoperative localization for small solitary pulmonary nodules (SSPN) with methylene blue in video-assisted thoracic surgery (VATS).[Methods] Thirty SSPN in 28 patients were preoperatively localized under CT guidance and marked with methylene blue injections before VATS wedge resection.[Results] All the thirty SSPN were localized successfully.The mean localization time was (22.13 ± 5.36)min.Only 3 patients (10.7%) had mild pneumothorax,but no one needed chest tube drainage.All the nodules were successfully removed by VATS,and no one was converted to open thoracotomy.The time of VATS wedge resection was (17.82 ± 5.63)min,and the blood loss volume was (20.03 ± 13.78) mL.[Conclusions] Methylene blue preoperative localization of SSPN under CT guidance is a simple,effective and safe method and is worth promoting.

关键词

肺结节/亚甲蓝/术前定位/电视胸腔镜手术

Key words

lung nodules/ methylene blue / preoperative localization/ video-assisted thoracic surgery

分类

医药卫生

引用本文复制引用

林志潮,伍硕允,叶敏,林坚,卢珠明,庞文广,黄文海,庞景灼..肺小结节术前CT引导下亚甲蓝定位的临床应用[J].中山大学学报(医学科学版),2013,34(3):456-460,5.

基金项目

广东省江门市科技计划项目[江科(2011)89号] (2011)

中山大学学报(医学科学版)

OA北大核心CSCDCSTPCD

1672-3554

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