论文部分内容阅读
[目的]探讨气管内超声引导下超细支气管镜(endobronchial ultrasound-guided ultrathin bronchoscope,EBUS-UB)联合亚甲蓝定位在电视胸腔镜(video-assisted thoracoscopic surgery,VATS)下肺小结节切除术中的临床应用。[方法]60例孤立性肺小结节手术患者,VATS术前均行EBUSUS联合亚甲蓝定位。评价定位成功率、转开胸手术发生率、术后病理类型等。[结果 ]EBUS-UB定位成功率91.7%(55/60),转开胸手术率13.3%。术后经病理证实良性病变占28.3%(17/60),恶性病变占71.7%(43/60)。[结论]术前EBUS-UB联合亚甲蓝定位肺小结节是一种安全、有效的方法。
[Objective] To investigate the effect of endobronchial ultrasound-guided ultrathin bronchoscope (EBUS-UB) combined with methylene blue localization in the treatment of small pulmonary nodules under video-assisted thoracoscopic surgery (VATS) In the clinical application. [Method] Sixty patients with solitary pulmonary nodules were treated with EBUSUS combined with methylene blue before VATS. Evaluation of positioning success rate, switch to the incidence of thoracic surgery, postoperative pathology and so on. [Results] The successful rate of EBUS-UB positioning was 91.7% (55/60) and the rate of thoracotomy was 13.3%. Postoperative pathological confirmed benign lesions accounted for 28.3% (17/60), malignant lesions accounted for 71.7% (43/60). [Conclusion] Preoperative EBUS-UB combined with methylene blue to locate pulmonary nodules is a safe and effective method.