近年来,随着胸部CT的广泛应用,肺结节的检出率明显增加(Abtin和Brown,JClinOncol31:1002-8,2013)。电视胸腔镜手术(VATS)是可疑恶性结节最常用的方法。然而,对于直径小于1厘米的结节,或位于距胸膜边缘1.5厘米以上,特别是磨玻璃结节,通过手动触诊实现精确的术中定位是具有挑战性的(Ciriaco等人。,欧洲心胸外科25:429-33,2004)。因此,术前准确定位此类结节成为精确切除的必要条件。本文对肺结节定位的研究进展进行了全面的综述和分析,重点介绍了四种主要的定位技术:经皮穿刺辅助定位,支气管镜术前肺结节定位,3D打印辅助定位,术中超声引导下肺结节定位。
In recent years, with the widespread use of chest CT, the detection rate of pulmonary nodules has significantly increased (Abtin and Brown, J Clin Oncol 31:1002-8, 2013). Video-assisted thoracoscopic surgery (VATS) is the most commonly used method for suspected malignant nodules. However, for nodules with a diameter less than 1 cm, or located more than 1.5 cm from the pleural edge, especially ground-glass nodules, it is challenging to achieve precise intraoperative localization by manual palpation (Ciriaco et al., Eur J Cardiothorac Surg 25:429-33, 2004). Therefore, preoperative accurate localization of such nodules becomes a necessary condition for precise resection. This article provides a comprehensive review and analysis of the research progress in pulmonary nodule localization, focusing on four major localization techniques: Percutaneous puncture-assisted localization, Bronchoscopic preoperative pulmonary nodule localization, 3D Printing-Assisted Localization, and intraoperative ultrasound-guided pulmonary nodule localization.