Fedorov V D, Starkov Iu G, Strekalovskiĭ V P, Vishnevskiĭ A A, Grishin N A, Pikunov M Iu
Khirurgiia (Mosk). 1998(6):64-7.
Intraoperative ultrasound diagnosis (IOUSD) was made in several thoracoscopic interventions in 15 patients: diagnostic thoracoscopies (3) in patients with lymphogranulomatosis, carcinoid and peripheral lung cancer, enucleation and atypical resection of the lung (4) in patients with hamartochondromas, in excision of lung cyst (1), in removal of foreign body of the lung (1), in removal of celomic cysts (2) and in ablation of neurofibroma of the mediastinum (1), in atypical resection of the lung and enucleation of tuberculomas (2). Video thoracoscopy in combination with intraoperative ultrasound examination provides possibility for precisional diagnosis of focal disease of the lung and mediastinal organs, including local masses of small sizes, and is rather informative method of diagnosis. IOUSD allows to define the diagnosis more exactly and to determine the extent of pathological process, to prevent complications and locate intraparenchymal masses and foreign bodies in lung tissues, and thus enables to complete operation without thoracotomy.
15例患者在多次胸腔镜干预中进行了术中超声诊断(IOUSD):对患有淋巴肉芽肿病、类癌和周围型肺癌的患者进行诊断性胸腔镜检查(3例);对患有错构瘤的患者进行肺摘除和非典型切除术(4例);肺囊肿切除术(1例);肺异物取出术(1例);腹腔囊肿切除术(2例);纵隔神经纤维瘤消融术(1例);肺非典型切除术和结核瘤摘除术(2例)。电视胸腔镜结合术中超声检查为精确诊断肺部和纵隔器官的局灶性疾病提供了可能,包括小尺寸的局部肿块,是一种信息量很大的诊断方法。IOUSD能够更准确地确定诊断并确定病理过程的范围,预防并发症,定位肺组织内的实质内肿块和异物,从而能够在不进行开胸手术的情况下完成手术。