It only takes a second to "red face", and fluorescent thoracoscopy makes the lesion tissue nowhere to hide

The Yangtze River Daily Da Wuhan Client September 27 (Reporter Wuye Correspondent Zhang Quanzu) How can the lesion hiding in a lung segment of the lungs accurately hit the lesion without hurting other health organizations? On September 26, the fluorescent thoracoscopy appeared at Wuhan Pulmonary Hospital for the first time. It only takes one second to allow the lesion tissue to be in the original shape. Doctors destroy various types of dangerous lung nodules and lung cancer such as pockets.

Mr. Li, 32, became the first beneficiary. Mr. Li accidentally infected with mold pneumonia, and severe lesions in both lungs. Half a month ago, he came to Wuhan Lung Hospital for treatment. After a period of treatment, most of the lesions of Mr. Li's double lungs were basically cured. Only the left upper lung was "died" by shadow mold. The doctor decided to use surgical surgery to remove the left upper pulmonary leaf tip and front section of the empty cave.

The left lungs have upper and lower leaves, and the naked eye is clearly distinguished, while the left upper lung lobe is composed of four lung segments. There is no obvious boundary between the lung segments and the lung segments. How to find the lung segment of this lesion? In the past, doctors used a clumsy method: first cut off the arteries where the lesion was located, and then gave the lungs to let the lungs drum. After 15-30 minutes, the part that continued to expand was the lung segment where the lesion was located. However, this stupid method has been waiting for a long time, and patients with low lung function are not applicable to patients with chronic obstruction, emphysema, and tuberculosis.

Under fluorescent thoracoscopy, health tissue and lesions are "red and green". Correspondent Zhang Quanlu Photo

On September 26, Mr. Li's operation was successfully performed. Before surgery, doctors first position CT positioning and three -dimensional reconstruction to clearly locate the arteries and bronchies where the lesion is located. During the operation, doctors accurately cut off the arteries of the pulmonary segment. After that, the outer peripheral vein was injected into the 吲哚 之后 之后 (a non -toxic and harmless contrast agent). This contrast agent can be combined with the protein in the blood, allowing the blood to appear green -like green under fluorescent thoracoscopy, and the lung segment where the lesion is located is still pink due to cutting off the blood flow. Compared with the two aspects, the doctor is clear, and the doctor can easily cut off the lung section where the lesion is in 3 minutes. On September 27, the patient recovered well 24 hours a day after surgery, and was discharged from the hospital.

"Fluorescent thoracoscopy is a new technical equipment that has only emerged in recent years. Only a few hospitals were carried out in the province. Patients with thoracoscopy, patient surgical risk, surgical trauma, and surgical costs have decreased significantly. It can be described as changing life of science and technology, and technology benefits patients.

Jiang Yuhui introduced that fluorescent thoracoscopy can also have more accurate applications in the removal of tiny lung nodules. In the past, doctors needed to insert a positioning needle from the patient's chest to the lungs. The patient entered the operating room with a positioning needle. The positioning needle up to thousands of yuan also brings a greater economic burden on patients. Today, doctors can directly injected the filmmaking agent to the lesion by penetrating through the dermatological method. After turning on the chest during the operation, just find the "small green dot" displayed on the lungs, and it can be accurately operated.

[Edit: Yu Lina]

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