Improvement and application of supine position components for lung tumor microwave ablation.

IF 1.3
Yanan Zhang, Yue Li, Qiuying Wei, Jun Liu, Huajian Peng, Xiang Gao, Dongsheng Lu, Zhanyu Xu, Nuo Yang
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Abstract

Objective: This study aimed to evaluate the safety and efficacy of improved supine positioning components for lung tumor microwave ablation (MWA), with the goal of enhancing surgical efficiency, reducing complications, and improving patient experience.

Materials and methods: One hundred patients undergoing MWA for lung tumors were randomly divided into two groups (n = 50 each): experimental (using improved components) and control (using traditional components). The improved positioning system included a high-density memory foam head pillow, lumbar and leg pillows, and adjustable fixing bands tailored to individual patient needs. A comparative analysis was performed on the positioning time, surgical localization time, number of intraoperative computed tomography (CT) scans, changes in vital signs, incidence of postoperative complications, and patient satisfaction between the groups.

Results: The experimental group showed significantly shorter positioning (9.48 ± 1.79 min) and surgical localization times (15.08 ± 2.76 min) compared to the control group (P < 0.05). They also required fewer intraoperative CT scans and exhibited more efficient surgical procedures. The experimental group demonstrated a smaller fluctuation range in vital signs and a significantly lower incidence of hypoxemia (P < 0.05), indicating enhanced intraoperative safety in the experimental group. Additionally, the experimental group showed lower pneumothorax and hemothorax rates and higher postoperative patient satisfaction scores (P < 0.05).

Conclusion: The use of improved positioning components during MWA for lung tumors effectively reduces positioning time, improves surgical efficiency, lowers intraoperative complication risks, and enhances patient satisfaction. Thus, their application may be recommended for lung tumor MWA.

仰卧位组件在肺肿瘤微波消融中的改进与应用。
目的:评价改进仰卧位组件用于肺肿瘤微波消融(MWA)的安全性和有效性,以提高手术效率,减少并发症,改善患者体验。材料与方法:将100例接受肺肿瘤MWA治疗的患者随机分为两组,每组50例:实验组(使用改良成分)和对照组(使用传统成分)。改进后的定位系统包括高密度记忆泡沫头枕、腰枕和腿枕,以及根据患者个人需求量身定制的可调节固定带。对比分析两组患者的体位时间、手术定位时间、术中CT扫描次数、生命体征变化、术后并发症发生率及患者满意度。结果:实验组定位时间(9.48±1.79 min)和手术定位时间(15.08±2.76 min)均显著短于对照组(P < 0.05)。他们也需要更少的术中CT扫描和更有效的外科手术。实验组生命体征波动幅度较小,低氧血症发生率明显降低(P < 0.05),提示实验组术中安全性增强。实验组气胸、血胸发生率较低,术后患者满意度评分较高(P < 0.05)。结论:在肺肿瘤MWA术中使用改进型定位组件,可有效缩短定位时间,提高手术效率,降低术中并发症风险,提高患者满意度。因此,推荐应用于肺肿瘤MWA。
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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