中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2021, Vol. 43 ›› Issue (4): 558-562.doi: 10.3881/j.issn.1000-503X.14086

• 论著 • 上一篇    下一篇

吲哚菁绿在胸腔镜肺小结节手术定位中的应用价值

曹剑1,王志伟1(),丁宁1,王客非1,金征宇1,李单青2   

  1. 中国医学科学院 北京协和医学院 北京协和医院 1放射科,北京 100730
    2胸外科,北京 100730
  • 收稿日期:2021-04-24 出版日期:2021-08-30 发布日期:2021-09-03
  • 通讯作者: 王志伟 E-mail:zhiweiwang1981@sohu.com
  • 基金资助:
    清华大学-协和医院专项基金(20191080922);中国医学科学院医学与健康科技创新工程项目(2020-I2M-C-T-B-034)

Application Value of Indocyanine Green in the Localization of Small Pulmonary Nodules in Video-assisted Thoracoscopic Surgery

CAO Jian1,WANG Zhiwei1(),DING Ning1,WANG Kefei1,JIN Zhengyu1,LI Shanqing2   

  1. 1Department of Radiology,Beijing 100730,China
    2Department of Thoracic Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
  • Received:2021-04-24 Published:2021-08-30 Online:2021-09-03
  • Contact: WANG Zhiwei E-mail:zhiweiwang1981@sohu.com
  • Supported by:
    Tsinghua University-Peking Union Medical College Hospital Initiative Scientific Research Program(20191080922);CAMS Innovation Fund for Medical Sciences(CIFMS)(2020-I2M-C-T-B-034)

摘要:

目的 探讨吲哚菁绿在胸腔镜下肺小结节手术定位中的应用价值。方法 回顾性分析2020年10月至2021年2月采用吲哚菁绿进行术前定位并接受胸腔镜下肺小结节(直径小于1 cm)切除术的45例病例资料,对患者的年龄、病灶直径、结节距胸膜距离、结节密度、吲哚菁绿定位成功率、定位时间、并发症发生率、病理结果进行分析。结果 吲哚菁绿定位靶病灶的成功率100%,平均结节大小6.3 mm,结节距壁层胸膜(10±11)mm,59枚结节定位后CT扫描发现局部少量气胸13例(22.0%),少量出血4例(6.7%),手术成功率100%,术后病理证实肺腺癌43例(72.9%)。结论 吲哚菁绿在胸腔镜下肺小结节手术定位中定位成功率高,安全性良好。

关键词: 吲哚菁绿, 肺结节, 定位, 电视胸腔镜手术

Abstract:

Objective To investigate the application value of indocyanine green(ICG)in the localization of small pulmonary nodules in video-assisted thoracoscopic surgery(VATS). Methods We retrospectively analyzed the clinical data of 45 patients with small nodules(diameter<1 cm)who received preoperative localization with ICG and underwent VATS wedge resection from October 2020 to February 2021.The data for analysis included patients age,nodule diameter,distance from the parietal pleura,nodule density,success rate of localization,time of localization,incidence of complications,and pathological findings. Results The success rate of localization was 100%.The average nodule size was 6.3 mm,and the nodules were(10±11)mm from the parietal pleura.After localization of 59 nodules,13(22.0%)cases were found to have mild pneumothorax,and 4(6.7%)cases were found to have mild hemorrhage.The success rate of operation was 100%,and 43(72.9%)cases were confirmed adenocarcinoma by postoperative pathology. Conclusion ICG has a high success rate and good safety in the localization of small pulmonary nodules in VATS.

Key words: indocyanine green, pulmonary nodule, localization, video-assisted thoracoscopic surgery

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