Application experience of CT guided autologous blood labeling in thoracoscopic surgery for small pulmonary nodules
CT引导下自体血标记在肺部小结节胸腔镜手术中的应用体会

摘要

目的 探讨基层医院应用CT引导下穿刺定位自体血标记肺部小结节在胸腔镜手术中的应用价值。方法 回顾性分析2022年1月至2024年12月期间我院接受胸腔镜手术治疗的肺部小结节患者21例，术前均采取CT引导下穿刺定位，自体血标记肺部小结节，术前1~2两小时完成标记定位后行胸腔镜手术的临床资料。结果 全组21例患者均定位成功，未出现明显并发症；21例者中3例患者行胸腔镜肺段切除术，18例患者行胸腔镜肺楔形切除术，均顺利切除肺结节，未出现明显的并发症。结论 在基层医院开展CT引导性穿刺定位自体血标记定位技术是可行的，可提高肺部小结节的定位准确性，缩短手术时间，减少术中出血和术后并发症，提高患者满意度。

Abstract

Objective To explore the application value of CT guided puncture localization of autologous blood labeled pulmonary nodules in thoracoscopic surgery in primary hospitals.
Methods A retrospective analysis was conducted on 21 patients with pulmonary nodules who underwent thoracoscopic surgery in our hospital from January 2022 to December 2024. Preoperative CT guided puncture localization was performed, and autologous blood was used to mark the pulmonary nodules. Clinical data of thoracoscopic surgery was performed 1-2 hours before the localization was completed.
Results All 21 patients in the group were successfully located without any significant complications; Among the 21 patients, 3 underwent thoracoscopic segmentectomy and 18 underwent thoracoscopic wedge resection, all of which successfully removed pulmonary nodules without any significant complications.
Conclusion   It is feasible to carry out CT guided puncture localization and autologous blood labeling localization technology in primary hospitals, which can improve the accuracy of locating small pulmonary nodules, shorten surgical time, reduce intraoperative bleeding and postoperative complications, and improve patient satisfaction.