Department of Interventional Treatment, First Hospital of Qinhuangdao, Qinhuangdao, China.
Diagn Interv Radiol. 2023 Jan 31;29(1):155-160. doi: 10.5152/dir.2022.21712. Epub 2022 Dec 28.
To retrospectively analyze the effectiveness and safety of computed tomography (CT)-guided microcoil localization for scapula-blocked pulmonary nodules using penetrating lung puncture prior to video-assisted thoracic surgery (VATS).
One hundred thirty-eight patients with 138 pulmonary nodules were included in this single-center retrospective study. Among them, 110 patients who underwent CT-guided microcoil localization using the routine puncture technique formed the routine group; the other 28 patients who underwent the CT-guided microcoil localization using the penetrating lung puncture technique formed the penetrating lung group. The main outcomes were the success rate and complication rate of the two groups.
The localization success rate was 95.5% (105/110) in the routine group and 89.3% (25/28) in the penetrating lung group ( = 0.205). There was no statistical difference in any of the complications (pneumothorax, intrapulmonary hemorrhage, or moderate and severe chest pain) in both groups ( = 0.178, = 0.204, = 0.709, respectively). Localization procedure time was significantly increased in the penetrating lung group compared with the routine group (31.0 ± 3.0 min vs. 21.2 ± 2.8 min, < 0.001).
CT-guided microcoil localization for scapula-blocked pulmonary nodules using penetrating lung puncture prior to VATS resection is effective and safe. However, the deployment of the microcoil using penetrating lung puncture required more time than the routine puncture method.
回顾性分析电视辅助胸腔镜手术（VATS）前经皮肺穿刺 CT 引导微线圈定位治疗肩胛骨遮挡肺结节的有效性和安全性。
本单中心回顾性研究纳入了 138 例 138 个肺结节患者。其中，110 例行常规穿刺技术 CT 引导微线圈定位的患者纳入常规组；28 例行经皮肺穿刺 CT 引导微线圈定位的患者纳入经肺穿刺组。主要结局为两组的成功率和并发症发生率。
常规组定位成功率为 95.5%（105/110），经肺穿刺组为 89.3%（25/28）（ = 0.205）。两组间任何并发症（气胸、肺内出血或中重度胸痛）发生率均无统计学差异（ = 0.178、 = 0.204、 = 0.709，分别）。与常规组相比，经肺穿刺组的定位操作时间明显延长（31.0 ± 3.0 min 比 21.2 ± 2.8 min， < 0.001）。
VATS 切除前经皮肺穿刺 CT 引导微线圈定位治疗肩胛骨遮挡肺结节是有效且安全的。然而，与常规穿刺方法相比，经肺穿刺微线圈的部署需要更多的时间。
