光学导航定位系统辅助CT引导肺结节穿刺定位的应用及穿刺后气胸的影响因素分析

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中图分类号 R655.3 文献标识码 A 文章编号 2096-7721（2025）07-1090-08

AbstractObjective：Toevaluate theclinicalutilityofopticalnavigationsystem-asisted CT-guided pulmonarynodule puncture positioning before video-asisted thoracoscopic surgery （VATS）and analyze factors influencing post-puncturepneumothorax. Methods： Aretrospective analysis wasconductedon104 patientswhounderwent CT-guided Hook-wirelung nodule puncture positioning before VATSat theThirdPeople'sHospitalofChengdufromJune2023toDecember2O23.Patientsweredividedintothenavigation group （ n =51，receiving optical navigation-assisted CT-guided localization）and the conventional group（ n ：53，receiving standard CT-guided localization）.Clinicaldataofpatietsrecompaedbetweetetwogoups，andmultivarateLgisticegesionasedtodtify pneumothoraxriskfactors.Results：Thenavigationgroupshowedshorterminimaldistancebetweenthepositioningwireandthenodule， higherfirstattsucssatndhedosgthpoduct（D）tanthonentioalgop（5）.Nosigificatdn pneumothorax or pulmonary hemorrhage rates was observed between the two groups （P>0.05） . Multivariate analysis revealed that increased neededepthitoenggaterhstalltcknsstradyededfiptsueseproteiecst pneumothorax，whileneedleproxiitytoribs wasariskfactor.Conclusion：Opticalnavigation-asisted CT-guded pulmonarynodule puncture positioning issafeandefective，whichhas higherpunctureprecisionthanconventionalpuncture.Clinicalyoptimizing path planning usingthenavigationsstem'saccuracyavidingiproxiityandesuringfistateptsuccsscanniizepooax risks and enhance procedural safety.

KeywordsOpticalNavigationandPostioingSystem; ComputerTmogaphy;PulmonaryNodules; PuncturePositioning;Pneumothorax

随着健康意识的增强和低剂量胸部CT在常规体检项目中的普及，越来越多难以定性的肺小结节被检出[1。（剩余11794字）