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东平县人民医院成功开展CT引导下肺小结节定位及穿刺活检术

2019-07-16 点击:611
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东平县人民医院

成功的CT引导肺结节定位和穿刺活检

近日,东平县人民医院胸外科成功完成CT引导下肺结节定位,胸腔镜下切除和CT引导下活检。

患者尹某,一名老年妇女,在左肺左上叶后段发现一个玻璃状结节,直径为6毫米。心理压力相对较高,他积极要求手术。东平县人民医院院长,山东大学第二医院对口医师彭传良,主任医师,医院胸外科,陈静莲,主任医师,沉鹏,副主任医师等,相信一般病理类型的磨玻璃结节直径为6毫米是癌前病变。病变或早期肺癌(原位或微侵袭性腺癌),局部切除和纵隔淋巴结取样。然而,困难在于小结节,没有固体成分,在手术过程中很难找到病变的位置,并且必须在手术前进行CT引导穿刺定位。在7月1日上午,通过将Hook钢丝置于患者的CT引导下进行胸部手术。准确定位病灶并局部取出进行检查。病理诊断为癌前病变。

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图1术前CT,病灶位于左侧S1 + 2

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图2钩线准确定位在病灶附近

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图3病变很小,切除后很难找到

患者张,一位85岁的老年男性,有成像数据显示右上叶恶性肿瘤合并脑转移没有手术的机会。患者年龄较大且风险较高,明确的病理诊断是进一步治疗的先决条件。 7月4日,医院胸外科在CT引导下进行了穿刺活检,手术顺利。

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Figure 4 CT can be seen into the tumor tissue

The successful implementation of these two cases has accumulated experience in the treatment of small pulmonary nodules and even small nodules in the thoracic surgery of Dongping County People's Hospital. It has improved the pathological diagnosis of patients with advanced lung cancer and expanded the space for thoracic surgery, so that patients do not need to Go to a higher level hospital for treatment. In the next step, there is still much room for development in the thoracic surgery of the hospital. With the support of the thoracic surgery of the Second Hospital of Shanda, the three-dimensional imaging technique of the small pulmonary nodules and the technique of segmental resection are gradually carried out to improve the proportion of minimally invasive surgery. Case discussions and remote consultations were conducted on the established network platform to better provide high-quality medical services for patients in Dongping County.

(Li Fuquan, Li Shengzhi)

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Contact us:

Address: No. 13 Foshan Street, Dongping County (the former site of the Procuratorate)

Email: jrdpbs

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