The application of VATS in the diagnosis and treatment of small lung neoplasm

ZHANG Liping; et al

doi:10.13406/j.cnki.cyxb.2004.01.031

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The application of VATS in the diagnosis and treatment of small lung neoplasm

更新时间：2024-01-17

- The application of VATS in the diagnosis and treatment of small lung neoplasm
- Journal of Chongqing Medical University Issue 1, Pages: 99-100(2004)
- 作者机构：
  
  1. 重庆医科大学第二临床学院胸外科
  2. 重庆医科大学第二临床学院胸外科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.01.031
  CLC： R655.3
- Published：2004，
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[1]张力平,江跃全.电视胸腔镜在诊治肺部结节病灶的应用[J].重庆医科大学学报,2004(01):99-100.

ZHANG Liping, et al. The application of VATS in the diagnosis and treatment of small lung neoplasm. [J]. Journal of Chongqing Medical University (1):99-100(2004)
[1]张力平,江跃全.电视胸腔镜在诊治肺部结节病灶的应用[J].重庆医科大学学报,2004(01):99-100. DOI： 10.13406/j.cnki.cyxb.2004.01.031.

ZHANG Liping, et al. The application of VATS in the diagnosis and treatment of small lung neoplasm. [J]. Journal of Chongqing Medical University (1):99-100(2004) DOI： 10.13406/j.cnki.cyxb.2004.01.031.

摘要

目的 :探讨电视胸腔镜对肺部结节病灶的诊治方法。方法 :对肺部结节病灶小于 15mm以下的 2 0例病人

采用胸腔镜将结节病灶楔形除

送冰冻切片而确诊

恶性者进一步作肺叶切除术。结果 :14例术中冰冻病理切片为恶性

占 70 %

全部为IA期

6例为良性

占 30 %。随访 12～ 36个月

平均 2 4个月均未复发。结论 :对肺部结节病灶 <15mm

在抗炎 2～ 3周无效者

可采用胸腔镜确诊或进行肺叶切除

可达到早期诊断和治疗的目的。

Abstract

Objective:To discuss the method of Video Assisted Thoracoscopy(VATS) in diagnosis and treatment of small peripheral lung neoplasm.Methods:A wedge-shaped excision with VATS had been performed on 20 patients with small peripheral lung neoplasm.The sample had been sent to pathology during surgery.Lobectomy was done with the malignant tumor.Results:14 cases(70%) were malignant in stage IA

6 cases were benign.The mean follow-up time postoperatively was 24 months(12～36months)

there was no relapse case.Conclusion:For those patients

the diameter of neoplasm is smaller than 15mm

and antibiotic treatment is ineffective for 2～3 weeks

VATS can be available for diagnosis and treatment.

关键词

胸腔镜微创术肺肿瘤肺部微小结节胸外科手术

Keywords

Video assisted thoracoscopylung neoplasmLung micro noduleThoracic surgery

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Related Institution

Department of Respiratory and Critical Care Medicine,The First Affiliated Hospital of Chongqing Medical University

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Department of Clinical Laboratory,the First Affiliated Hospital,Chongqing Medical University

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Department of Radiology,Zhongda Hospital,Southeast University

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