临床外科杂志 ›› 2022, Vol. 30 ›› Issue (8): 793-796.doi: 10.3969/j.issn.1005-6483.2022.08.026

• 综述与讲座 • 上一篇    下一篇

肺小结节定位技术在肺癌手术中的应用进展

  

  1. 215002 南京医科大学附属苏州医院(苏州市立医院)心胸外科
  • 收稿日期:2022-05-19 接受日期:2022-05-19 出版日期:2022-08-20 发布日期:2022-08-20
  • 通讯作者: 龚永生,Email:gongshuishengone@aliyun.com
  • 基金资助:
    国家自然科学基金资助项目(32000908)

Application and progress of small lung nodule localization technology in lung cancer surgery

  1. Department of Cardiothoracic Surgery,Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou Municipal Hospital,Jiangsu,Suzhou 215002
  • Received:2022-05-19 Accepted:2022-05-19 Online:2022-08-20 Published:2022-08-20

摘要: 胸部CT的普及使越来越多的肺癌病人在早期被发现。肺癌早期在胸部CT上往往以肺小结节的方式呈现,而肺小结节在临床上常采用肺楔形或者肺段切除术。肺小结节直径较小、密度较低,无法确定切除范围是否足够。随着科技的发展,肺小结节定位的技术也得到了长足的发展,但每种方法在肺癌手术中的具体作用尚不明确。我们回顾了CT引导下经皮穿刺定位技术、支气管镜辅助定位技术、CT虚拟三维辅助定位技术以及术中解剖定位技术等临床相关研究,总结各种定位技术在肺癌手术中的应用进展。

关键词: 肺小结节, 定位技术, 肺癌手术

Abstract: The development of the popularity of chest CT has led to an increasing number of lung cancer patients being detected at an early stage.Early lung cancer is often presented in the form of small lung nodules on chest CT,and small lung nodules are often clinically wedge-shaped or pulmonary segment resection.Because small lung nodules are small in diameter and low in density,surgeons cannot determine whether the resection range is sufficient.With the development of science and technology,the technology of localization of small lung nodules has also been greatly developed,but the specific role of each method in lung cancer surgery is not clear.We review the clinically relevant studies such as computed tomography-guided percutaneous puncture localization technique,bronchoscopic assisted positioning technology,computed tomography virtual 3D assisted positioning technology and intraoperative anatomical localization technique and summary the application progress of various localization techniques in lung cancer surgery.

Key words: small lung nodule, localization technique, lung cancer surgery

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