快速医用胶在肺磨玻璃结节CT引导术前定位中的应用价值

摘要

目的 探讨使用α-氰基丙烯酸酯快速医用胶(简称快速医用胶)在肺磨玻璃结节CT引导术前定位中的应用价值.资料与方法 回顾性分析具有肺磨玻璃结节并行CT引导术前定位的患者48例,所有患者在磨玻璃结节的局部注射快速医用胶进行术前结节定位.结果 48例肺磨玻璃结节病灶在行术前快速医用胶定位后,均成功完成电视胸腔镜下楔形切除术.定位后均无气胸并发症,10例有微量肺内出血.结论 快速医用胶应用于肺磨玻璃结节的CT引导下术前定位,具有定位准确率高、手术成功率高、操作简单、安全有效等优点.%Purpose To evaluate the application value of using a-cyanoacrylate rapid medical glue in preoperative localization of ground-glass nodules under CT guidance.Materials and Methods 48 cases were retrospectively analyzed,in which the pulmonary ground-glass nodules took preoperative localization under CT guidance.The rapid medical glue was injected in pulmonary ground-glass nodules,which was used for preoperative localization.Results After preoperative localization of rapid medical glue in 48 cases,pulmonary ground-glass nodules of all patients were resected successfully by video-assisted thoracoscope surgery (VATS).The complications of pneumothorax did not occur in all cases,with little pulmonary hemorrhagein in 10 cases.Conclusion When the fast medical glue has been used in the CT-guided preoperative localization of ground-glass nodules,there are advantages of high accuracy of localization and surgery.Moreover,this method is simple,safe and effective.