[1]梁勋斯,张爱平,陆文仁,等.CT引导下带钩金属丝在肺磨玻璃结节术前定位中的应用[J].中国医学物理学杂志,2026,43(6):798-802.[doi:DOI:10.3969/j.issn.1005-202X.2026.06.013]
　LIANG Xunsi,ZHANG Aiping,LU Wenren,et al.Application of CT-guided hook wires in preoperative localization of pulmonary ground-glass nodules[J].Chinese Journal of Medical Physics,2026,43(6):798-802.[doi:DOI:10.3969/j.issn.1005-202X.2026.06.013]
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CT引导下带钩金属丝在肺磨玻璃结节术前定位中的应用()

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
43卷
期数:
2026年第6期
页码:
798-802
栏目:
医学影像物理
出版日期:
2026-06-26

文章信息/Info

Title:
Application of CT-guided hook wires in preoperative localization of pulmonary ground-glass nodules
文章编号:
1005-202X（2026）06-0798-05
作者:
梁勋斯; 张爱平; 陆文仁; 邹柳涛; 廖勇; 蔡青
广西胸科医院胸外科二病区， 广西 柳州 545005
Author(s):
LIANG Xunsi;  ZHANG Aiping;  LU Wenren;  ZOU Liutao;  LIAO Yong;  CAI Qing
The Second Department of Thoracic Surgery, Guangxi Chest Hospital, Liuzhou 545005, China
关键词:
肺磨玻璃结节; CT引导; 带钩金属丝定位; 并发症; 危险因素
Keywords:
Keywords: pulmonary ground-glass nodule CT guidance hook-wire localization complication risk factor
分类号:
R445.3；R816.4
DOI:
DOI:10.3969/j.issn.1005-202X.2026.06.013
文献标志码:
A
摘要:
目的：探讨CT引导下带钩金属丝在肺磨玻璃结节术前定位中的应用效果。方法：110例肺磨玻璃结节患者均接受CT引导下带钩金属丝术前定位，记录定位成功率及定位时间、并发症发生情况，分析影响CT引导下带钩金属丝肺磨玻璃结节术前定位并发症的危险因素。结果：术前结节定位成功106枚（96.36%），良性结节13例（11.82%），恶性结节97例（88.18%），29例（26.36%）患者发生术前定位并发症，定位后刺激性咳嗽18例、肺内出血7例、气胸4例。根据患者术前定位后并发症发生情况分为发生组29例和未发生组81例，两组患者的定位时间、定位体位、“危险期”时间存在显著差异（P<0.05）。经多因素Logistic回归分析，定位时间、“危险期”时间是影响CT引导下带钩金属丝肺磨玻璃结节术前定位并发症的危险因素（P<0.05）。结论：CT引导下带钩金属丝在肺磨玻璃结节术前定位中的成功率较高，但仍存在一定的并发症风险，临床需加强对定位时间及“危险期”时间的把控。
Abstract:
Abstract: Objective To explore the application effect of CT-guided hook wires in preoperative localization of pulmonary ground-glass nodules. Methods A total of 110 patients with pulmonary ground-glass nodules underwent preoperative localization with CT-guided hook wires. The success rate, localization time, and incidence of complications were recorded. The influencing factors for complications during the preoperative localization of pulmonary ground-glass nodules were analyzed. Results Successful preoperative nodule localization was achieved for 106 nodules (96.36%). There were 13 cases (11.82%) of benign nodules, and 97 cases (88.18%) of malignant nodules. Complications associated with preoperative localization occurred in 29 cases (26.36%), including 18 with irritative cough, 7 with intrapulmonary hemorrhage, and 4 with pneumothorax. According to the occurrence of complications after preoperative localization, patients were divided into a complication group (n=29) and a non-complication group (n=81). Significant differences were observed in localization time, localization position, and "risk period" duration between the two groups (P<0.05). Multivariate Logistic regression analysis identified localization time and "risk period" duration as risk factors for complications in patients with pulmonary ground-glass nodules after preoperative localization with CT-guided hook wires (P<0.05). Conclusion CT-guided hook wire preoperative localization achieves a relatively high success rate for pulmonary ground-glass nodules, but there is still a certain risk of complications. Clinically, it is necessary to strictly control localization time and "risk period" duration.

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[1]杨杰,郭丽宁,许汴菊.CT引导下三维腔内后装放疗联合体外调强化疗在治疗晚期宫颈癌的应用价值[J].中国医学物理学杂志,2022,39(10):1213.[doi:DOI:10.3969/j.issn.1005-202X.2022.10.006]
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备注/Memo

备注/Memo:
【收稿日期】2025-12-23 【基金项目】广西壮族自治区卫生健康科研课题（ZA20230168） 【作者简介】梁勋斯，副主任医师，研究方向：肺结节术前定位，E-mail: gxf201406124@163.com
更新日期/Last Update: 2026-06-29