■随着低剂量螺旋计算机断层扫描(LDCT)的广泛使用以及对个人健康的认识不断提高,肺结节检出率稳步上升。
■评估两种不同模型的Hook-Wire针定位程序对肺小结节活检的成功率和安全性。回顾性分析
■94例,共97个肺小结节行穿刺活检。将病例分为两组:A组,使用乳房定位针钢丝(BardHealthcareScienceCo.,有限公司);B组,使用一次性肺结节穿刺针(SensCureBiotechnologyCo.,有限公司)。所有患者在定位和活检后的同一天接受电视胸腔镜手术(VATS)进行结节切除。穿刺定位操作时间,成功率,并发症如肺出血,气胸,咯血,术后舒适度进行观察比较。
■在A组中,97个结节的平均定位手术时间为15.47±5.31分钟,成功率为94.34%。并发症发生率为71.69%(气胸12例,肺出血35例,咯血2例),并报告了40例定位后不适。B组,平均定位手术时间为25.32±7.83分钟,成功率100%。并发症发生率为29.55%(气胸3例,15例肺出血,咯血0例),3例报告术后不适。根据本研究的数据分析,B组穿刺相关并发症发生率低于A组,随着更高的成功率和明显更大的术后舒适度。
■一次性肺结节穿刺针在肺小结节定位活检中更安全有效,与乳房定位针相比,舒适度增加。此外,并发症发生率明显降低。
UNASSIGNED: With the widespread use of low-dose spiral computed tomography (LDCT) and increasing awareness of personal health, the detection rate of pulmonary nodules is steadily rising.
UNASSIGNED: To evaluate the success rate and safety of two different models of Hook-Wire needle localization procedures for pulmonary small nodule biopsy.
UNASSIGNED: Ninety-four cases with a total of 97 pulmonary small nodules undergoing needle localization biopsy were retrospectively analyzed. The cases were divided into two groups: Group A, using breast localization needle steel wire (Bard Healthcare Science Co., Ltd.); Group B, using disposable pulmonary nodule puncture needle (SensCure Biotechnology Co., Ltd.). All patients underwent video-assisted thoracoscopic surgery (VATS) for nodule removal on the same day after localization and biopsy. The puncture localization operation time, success rate, complications such as pulmonary hemorrhage, pneumothorax, hemoptysis, and postoperative comfort were observed and compared.
UNASSIGNED: In Group A, the average localization operation time for 97 nodules was 15.47 ± 5.31 minutes, with a success rate of 94.34%. The complication rate was 71.69% (12 cases of pneumothorax, 35 cases of pulmonary hemorrhage, 2 cases of hemoptysis), and 40 cases of post-localization discomfort were reported. In Group B, the average localization operation time was 25.32 ± 7.83 minutes, with a 100% success rate. The complication rate was 29.55% (3 cases of pneumothorax, 15 cases of pulmonary hemorrhage, 0 cases of hemoptysis), and 3 cases reported postoperative discomfort. According to the data analysis in this study, Group B had a lower incidence of puncture-related complications than Group A, along with a higher success rate and significantly greater postoperative comfort.
UNASSIGNED: The disposable pulmonary nodule puncture needle is safer and more effective in pulmonary small nodule localization biopsy, exhibiting increased comfort compared to the breast localization needle. Additionally, the incidence of complications is significantly lower.