从临床到文章

From Bench to Bed,From bed to manuscript Xuanli Xu,寻找课题：,对临床中用现有的理论无法解释的现象对临床中不能解决的问题解决不满意的问题,寻找课题：,小问题：某一疾病的诊断、治疗、预后的某一小问题改进,肺小结节术前CT引导下Hook-wire定位,近4年浙一医院呼吸内科开展此项技术，共有161例患者(168小结节)于术前CT引导下行Hook-wire定位。,Hook-wire：德国宝雅医疗（Pajunk GmbH Mediziintechnologie）Medical Device Technologies, Inc. (21 G/10 CM) (Gainesville, USA). 规格20 G100 mm,记录数据:,年龄，性别，肿瘤病史，抽烟，CEA病灶部位，大小，个数，性状放置hook-wire并发症：气胸，血胸，咯血，胸膜反应等小结节的CT影像,From January 2010 to May 2014,161例患者，共168个病灶（7例为双发） 男性63例，女性98例28 76岁，平均年龄为53.2岁,查阅文献,European Journal of Cardio-thoracic Surgery 30 (2006) 160163,关注纯GGO病灶，分析临床病理特征，,BAC lesions are more frequently palpable than AAH lesions.,小亮点！,European Journal of Cardio-thoracic Surgery 36 (2009) 378382,关注hook-wire后I期肺癌的预后和8例钩子术中丢失事件。,Ann Thorac Surg 2013;96:12038,关注有效率和并发症; 500例,122肺部GGO病灶的病理学分析,Table 1 Clinical characteristics of pulmonary nodules of different histological diagnoses,Table 2 Size distribution and G/T ratio of subsolid nodules,Fig 1 High-resolution computed tomography of pulmonary nodules,(A) Hook-wire through the nodule. (B) Exploration of the nodule by the hook wire localization.,Fig 3 Pathologic distribution of different density nodule on CT,Ann Thorac Surg (胸外科年鉴),Reviewer : Comments for the Author.,类推：,EBUS下纵膈淋巴结的临床分析,内科胸腔镜下胸膜疾病的临床分析,Castleman引发的BO,陈伯亚，龙自铭，黄燕君。中华耳鼻咽喉头颈外科杂志，2013, 48(7),体会,敏锐的认识，及时