医学
电视胸腔镜手术
结核(地质)
计算机断层摄影术
逻辑回归
并发症
肺
亚甲蓝
核医学
肺孤立结节
胸痛
放射科
外科
内科学
古生物学
催化作用
化学
生物
光催化
生物化学
作者
Hua Zhang,Jian Kong,Jianxi Guo
出处
期刊:Current Medical Imaging Reviews
[Bentham Science]
日期:2023-06-01
卷期号:19 (7)
标识
DOI:10.2174/1573405619666221228151252
摘要
The aim of this study was to evaluate the clinical value of computed tomographyguided localization needle (LN) and methylene blue (MB) for pulmonary nodule localization.Between November 2019 and January 2022, 547 patients underwent computed tomography-guided LN (n=171) or MB (n=376) localization and video-assisted thoracoscopic surgery (VATS) resection.In total, 171 and 376 nodules were localized via LN and MB, respectively, with respective technical localization success rates of 92.98 % and 88.56 % (p = 0.111). The pulmonary nodule localization time was significantly shorter for the MB group than for the LN group (p < 0.05). However, the rates of total complication, chest pain, and cough were significantly lower in the LN group (χ2 = 8.251/25.092/5.127, all p < 0.05). Furthermore, the LN group had a shorter VATS time than the MB group (p < 0.05). The VATS achieved a 100% operation success rate in both groups, and there was no significance between groups with respect to the types of surgery (p > 0.05) or the blood loss (p > 0.05). Moreover, logistic regression analysis showed that the localization technique was an independent risk factor for total complications and chest pain.Both techniques can effectively localize pulmonary nodules before VATS. MB had a shorter localization time, but the LN had a shorter VATS time and a lower incidence of complications, especially chest pain.
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