The application of CT-guided localization of small pulmonary nodules by using double-hook-wire before video-assisted thoracoscopic resection
10.3969/j.issn.1008-794X.2017.12.008
- VernacularTitle:肺小结节胸腔镜切除术前CT引导下双钩hook-wire定位的应用价值
- Author:
Xiaoyan HUANG
1
;
Yifeng ZHENG
;
Feng PAN
;
Qibin SHEN
;
Guoliang SHAO
Author Information
1. 313000,浙江 湖州市中心医院放射科
- Keywords:
small pulmonary nodule;
video-assisted thoracoscopic resection;
CT-guided localization;
double-hook-wire
- From:
Journal of Interventional Radiology
2017;26(12):1098-1101
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical application of CT-guided localization of small pulmonary nodules (SPNs) by using double-hook-wire before the performance of video-assisted thoracoscopic (VATS) resection.Methods Before the performance of VATS resection,CT-guided localization by using doublehook-wire was carried out in 54 patients with SPNs (67 small pulmonary nodules in total) and CT-guided localization by using single-hook-wire was employed in 63 patients with SPNs(81 small pulmonary nodules in total).The location success rate and complication rate of the double-hook-wire technique and the singlehook-wire technique were calculated.Results The location success rate of CT-guided localization for SPNs by using double-hook-wire performed before VATS resection in 54 patients was 100％.The incidences of pneumothorax and hemorrhage were 29.6％ (16/54) and 48.1％ (26/54) respectively.In 63 patients receiving single-hook-wire technique,the location success rate for SPNs was 98.4％ (62/63).The incidences of pneumothorax and hemorrhage were 28.5％ (18/63) and 25.4％ (16/63) respectively.Conclusion CT-guided localization for SPNs by using double-hook-wire before VATS resection can reduce the risk of failure in positioning the hook-wire,and this technique is an important supplement for other localization techniques.
