Clinical application of two types of Hook-Wire needle localization procedures for pulmonary small nodule biopsy.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-01-01 DOI:10.3233/THC-248027

Zhong Lin, Guang-Ming Yang, Xiu-Bi Ye, Xiang-Bo Liu, Song-Sen Chen, Yu-Ling Zhang, Pi-Qi Zhuo

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引用次数: 0

Abstract

Background: 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.

Objective: To evaluate the success rate and safety of two different models of Hook-Wire needle localization procedures for pulmonary small nodule biopsy.

Methods: 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.

Results: 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.

Conclusions: 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.

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两种用于肺小结节活检的钩丝针定位程序的临床应用。

背景：随着低剂量螺旋计算机断层扫描（LDCT）的广泛应用和个人健康意识的增强，肺小结节的检出率正稳步上升：评估两种不同型号的钩丝针定位术在肺小结节活检中的成功率和安全性：方法：回顾性分析接受针定位活检的 94 个病例，共 97 个肺小结节。病例分为两组：A 组，使用乳腺定位针钢丝（巴德医疗保健科学有限公司）；B 组，使用一次性肺小结节穿刺针（SensCure 生物技术有限公司）。所有患者在定位和活检后的同一天接受视频辅助胸腔镜手术（VATS）进行结节切除。观察并比较了穿刺定位手术时间、成功率、肺出血、气胸、咯血等并发症以及术后舒适度：结果：在 A 组中，97 个结节的平均定位操作时间为（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），定位后不适 40 例。在 B 组中，定位手术的平均时间为（25.32±7.83）分钟，成功率为 100%。并发症发生率为 29.55%（气胸 3 例、肺出血 15 例、咯血 0 例），3 例报告术后不适。根据本研究的数据分析，B 组的穿刺相关并发症发生率低于 A 组，成功率更高，术后舒适度也显著提高：与乳腺定位针相比，一次性肺小结节穿刺针在肺小结节定位活检中更安全、更有效，舒适度更高。此外，并发症的发生率也明显降低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.