A clinical study on intraoperative ultrasound localization of pulmonary solid nodules in video-assisted thoracic surgery

WANG Lei; WU Weihua; HU Dingzhong; CAO Hui; CHEN Qunhui; ZHU Lei

doi:10.19732/j.cnki.1008-617X.2018.05.008

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A clinical study on intraoperative ultrasound localization of pulmonary solid nodules in video-assisted thoracic surgery

更新时间：2025-12-15

- A clinical study on intraoperative ultrasound localization of pulmonary solid nodules in video-assisted thoracic surgery
- Vol. 27, Issue 5, Pages: 379-381(2018)
- 作者机构：
  
  1. 上海交通大学附属胸科医院超声科,上海,200030
  2. 上海交通大学附属胸科医院胸外科,上海,200030
  3. 上海交通大学附属胸科医院麻醉科,上海,200030
  4. 上海交通大学附属胸科医院放射科,上海,200030
  5. 上海交通大学附属胸科医院病理科,上海,200030
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.1008-617X.2018.05.008
  CLC：
- Published Online：14 November 2018，
  
  Published：14 November 2018
- 稿件说明：
移动端阅览
王雷,吴卫华,胡定中,等. 电视胸腔镜术中超声定位肺部实性结节的临床研究[J]. 肿瘤影像学, 2018, 27(5): 379-381 https://doi.

org/10.19732/j.cnki.1008-617X.2018.05.008
王雷,吴卫华,胡定中,等. 电视胸腔镜术中超声定位肺部实性结节的临床研究[J]. 肿瘤影像学, 2018, 27(5): 379-381 https://doi. DOI： 10.19732/j.cnki.1008-617X.2018.05.008.

org/10.19732/j.cnki.1008-617X.2018.05.008 DOI：

摘要

目的：

评估电视胸腔镜手术（video-assisted thoracic surgery，VATS）中超声定位肺部结节的临床意义。

方法：

随机对38例患者进行术中肺部实性结节超声定位，发现可疑回声时测量各参数，并与CT及病理学检查结果进行比较。

结果：

38例患者中，超声发现34例（89.5%）肺部实性结节并给予明确定位。显示者、未显示者CT图像上结节最大径及病灶与胸膜的距离分别为（1.760.66）cm和（1.000.14）cm（

0.05），（1.040.65）cm和（2.050.24）cm（

0.05）。超声显示结节大小与CT及术后病理标本相仿（

0.05）。超声定位中位时间为5 min。

结论：

术中超声（IU）在VATS中可以安全、有效地定位肺部实性结节及明确手术切除边界，对术中不可触及病变的诊治具有非常重要的意义。

Abstract

Objective:

To evaluate the clinical significance of intraoperative ultrasound (IU) in localization of pulmonary nodules in video-assisted thoracic surgery (VATS).

Methods:

The pulmonary solid nodules of 38 patients were localized by IU at random

and the parameters were measured when suspicious echo was found. The results were compared with CT and pathological findings.

Results:

Totally 34 cases (89.5%) were identified by IU and were clearly positioned. On CT the maximum nodular diameter and the distance between lesion and pleura in positive and negativ

e patients were (1.760.66) cm and (1.000.14) cm (

0.05)

(1.040.65) cm and (2.050.24) cm (

0.05)

respectively. IU showed that the nodule size was similar to those on CT and postoperative pathological specimens (

0.05). The median operation time of IU was 5 min.

Conclusion:

IU can safely and effectively localize pulmonary nodules and define the surgical boundaries in VATS

especially for the non-palpable lesions during operation.

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