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摘要目的回顾性分析CT引导下短钩丝置入定位在电视辅助胸腔镜手术(VATS)的安全性及本操作导致气胸的危险因素。方法分析了267例肺部病灶(病灶平均直径,9.9 mm)的短钩丝置入定位手术。对涉及病人、病变和操作程序的多个变量进行了评估,以确定气胸的危险因素。结果 196例操作出现并发症(219例1级和4例2级不良事件),未观察到3级及以上不良事件。单因素分析显示增加肺活量[优势比(OR),1.518;P=0.021]、下叶病变(OR,2.343;P=0.001)、实性
Abstract Objective To retrospectively analyze the safety of CT-guided dart wire placement in video-assisted thoracoscopic surgery (VATS) and the risk factors of pneumothorax caused by this procedure. Methods A total of 267 cases of pulmonary lesions (mean diameter of lesion, 9.9 mm) were treated with short hook wire placement. Several variables involving patients, lesions, and procedures were evaluated to determine the risk factors for pneumothorax. Results Complications (219 cases of grade 1 and 4 cases of grade 2 adverse events) were observed in 196 patients. Level 3 and above adverse events were not observed. Univariate analysis showed an increase in vital capacity (OR, 1.518; P = 0.021), lower lobed lesions (OR, 2.343; P = 0.001)