電磁導航支氣管鏡聯(lián)合CT三維實時融合導航用于肺結(jié)節(jié)的熱消融治療一例

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中圖分類號：R734.2；R655.3；R454 文獻標識碼：B 文章編號：1000-503X（2025）01-0137-05

DOI：10.3881/j.issn.1000-503X.16198

Thermal Ablation of Pulmonary Nodules by Electromagnetic Navigation Bronchoscopy Combined With Real-Time CT-Based 3D Fusion Navigation： Report of One Case

XU Yuan1，LIU Qun2，GUO Chao1，WANG Yibo3，WU Xiaofang4，MA Chenxi2 WANG Guige’，LIU Qianshu’，LIANG Naixin'，LI Shanqing'

1 Department of Thoracic Surgery，2Clinical Research Center for New Technology， PUMCHospital，CAMSandPUMC，Beijing100730，China （20號 3 GE Healthcare，Shanghai 200131，China 4 Department of Anesthesiology，PUMC Hospital，CAMSand PUMC，Beijing 100730，China

Corresponding author：LIANG Naixin Tel：010-69152636，E-mail：pumchnelson@163.com

ABSTRACT：A nodule in the right middle lobe of the lung was treated by a combination of cone-beam CT， three-dimensional registration for fusion imaging，and electromagnetic navigationbronchoscopy-guided thermal ablation.The procedure lasted for90min，with no significant bleeding observed underthe bronchoscope.The total radiation dose during theoperation was 384 mGy.The patient recovered wellpostoperatively，withonlyasmall amount of blood in the sputum and no pneumothorax or other complications.A follow-up chest CTon the first day post operation showed that the ablation area completely covered the lesion，and the patient was discharged successfully.

Keywords：electromagneticnavigation bronchoscopy；cone-beam CT；thre-dimensional fusionnavigation；pulmonary nodule；microwave ablation

ActaAcadMedSin，2025，47（1）：137-141

隨著低劑量螺旋CT篩查的普及，肺結(jié)節(jié)檢出率顯著提高[1]。（剩余5748字）