[1]魏宁① 蔺瑞江 曹雄 陈昶② 韩彪**.3D打印导航模板在肺小结节术前定位中的应用[J].中国微创外科杂志,2021,01(11):1020-1023.
　Wei Ning,Lin Ruijiang*,Cao Xiong*,et al.Application of 3D Printed Template Navigation in Preoperative Localization of Small Pulmonary Nodules[J].Chinese Journal of Minimally Invasive Surgery,2021,01(11):1020-1023.
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3D打印导航模板在肺小结节术前定位中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2021年11期
页码:
1020-1023
栏目:
临床研究
出版日期:
2021-11-25

文章信息/Info

Title:
Application of 3D Printed Template Navigation in Preoperative Localization of Small Pulmonary Nodules
作者:
魏宁① 蔺瑞江 曹雄 陈昶② 韩彪**
（兰州大学第一医院胸外科，兰州730000）
Author(s):
Wei Ning;  Lin Ruijiang*;  Cao Xiong*;  et al.
*Department of Thoracic Surgery, First Hospital of Lanzhou University, Lanzhou 730000, China
关键词:
3D打印; 导航模板; 肺结节; 定位
Keywords:
3D printed; Template navigation; Pulmonary nodule; Localization
文献标志码:
A
摘要:
目的探讨3D打印导航模板（导板）在肺部小结节术前定位中的应用价值。方法回顾性分析2020年9月~2021年4月利用3D打印导板进行术前带线锚钩肺小结节定位45例的资料。病灶直径6~14 mm，（9.9±2.5）mm。于杂交手术间定位后CT验证定位效果，行单孔胸腔镜肺楔形切除术。结果均利用导板顺利完成结节定位并手术，定位时间7~14 min，(9.8±2.0)min。带线锚钩中心距离肺结节边缘1.1~13.0 mm，中位数5.9 mm，其中6例距离>10 mm（定位相对不准确）。定位针进针深度11.4~45.3 mm，中位数22.8 mm。轻微并发症2例。结论利用3D打印导板进行术前肺结节定位安全有效，但对直径<10 mm的结节定位精准程度需进一步提高。
Abstract:
ObjectiveTo investigate the application of 3D printed template navigation in preoperative localization of pulmonary nodules.MethodsA retrospective analysis was performed on the data of 45 cases of preoperative positioning of small pulmonary nodules with hook wire using 3D printed navigation template from September 2020 to April 2021. The diameter of lesions was 6-14 ［mean, (9.9±2.5) mm］. The localization effect was verified by intraoperative CT in the hybrid surgery room and singleport thoracoscopic wedge resection of lung was performed.ResultsThe nodule localization and surgery were successfully performed after 3D printed template navigation in all the patients. The localization time was 7-14 ［mean, (9.8±2.0) min］. The distance between the center of the hook and the edge of the pulmonary nodules was 1.1-13.0 (median, 5.9 mm), and more than 10 mm (relatively inaccurate positioning) in 6 cases. The penetration depth of positioning needle was 11.4-45.3 (median, 22.8 mm). Minor complications occurred in 2 cases.ConclusionsThe application of 3D printed template navigation in the localization of pulmonary nodule is safe and effective. However, the accuracy of this method for the localization of pulmonary nodules with diameter less than 10 mm needs to be further improved.

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备注/Memo

备注/Memo:
基金项目：甘肃省青年科技基金计划（21JR1RA107）；甘肃省自然科学基金（21JR1RA118）；胸外科关键技术与应用甘肃省国际合作基地专项基金 **通讯作者，Email：hanbiao66@163.com ①(兰州大学第一临床医学院，兰州730000) ②（同济大学附属上海市肺科医院胸外科，上海200433）
更新日期/Last Update: 2022-02-10