Clinical application of mobile CT combined with procedural sedation and analgesia in the preoperative localization of multiple pulmonary nodules.

IF 2.1 3区医学 Q2 SURGERY Langenbeck's Archives of Surgery Pub Date : 2024-12-03 DOI:10.1007/s00423-024-03561-z

Siyang Jiao, Feng Shao, Qiang Zhang, Yun-Gang Sun

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Abstract

Objective: To evaluate the safety and efficacy of mobile CT combined with procedural sedation and analgesia for the preoperative localization of multiple nodules.

Methods: The clinical data of 200 patients who underwent CT-guided localization before single-port thoracoscopic pulmonary lobe surgery at our hospital from July 2023 to September 2023 were retrospectively analyzed. The patients were divided into two groups according to the localization method: Group A consisted of 100 patients who were localized under local anesthesia, and Group B consisted of 100 patients who were localized under procedural sedation and analgesia combined with local anesthesia. The general clinical data and localization data of the two groups were compared and analyzed.

Results: The incidence of localization complications in Group B was significantly lower than that in Group A (4% vs. 13%, P = 0.04). The localization success rate in Group B was significantly greater than that in Group A (98% vs. 92%, P = 0.04). The localization time in Group B was significantly shorter than that in Group A (15.23 ± 5.96 min vs. 19.90 ± 8.66 min, P<0.01), and the pain score in Group B was significantly lower than that in Group A (2.01 ± 2.09 min vs. 3.29 ± 2.54 min, P<0.01).

Conclusion: Mobile CT combined with procedural sedation and analgesia for preoperative puncture localization of multiple pulmonary nodules is safe and effective, with significant clinical application value.

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移动CT联合程序性镇静镇痛在肺多发结节术前定位中的临床应用。

目的：评价移动CT联合程序性镇静镇痛在术前定位多发结节中的安全性和有效性。方法：回顾性分析我院2023年7月至2023年9月200例单孔胸腔镜肺叶手术前行ct引导定位的患者的临床资料。根据定位方法将患者分为两组：A组100例局部麻醉下定位，B组100例局部麻醉下程序性镇静镇痛。比较分析两组患者的一般临床资料和定位资料。结果：B组局部并发症发生率明显低于A组（4% vs. 13%, P = 0.04）。B组定位成功率明显高于A组（98% vs. 92%, P = 0.04）。B组定位时间明显短于A组（15.23±5.96 min vs. 19.90±8.66 min）。结论：移动CT联合术中镇静镇痛用于术前穿刺定位多发肺结节安全有效，具有重要的临床应用价值。

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

Langenbeck's Archives of Surgery 医学-外科

CiteScore

3.30

自引率

8.70%

发文量

342

审稿时长

4-8 weeks

期刊介绍： Langenbeck''s Archives of Surgery aims to publish the best results in the field of clinical surgery and basic surgical research. The main focus is on providing the highest level of clinical research and clinically relevant basic research. The journal, published exclusively in English, will provide an international discussion forum for the controlled results of clinical surgery. The majority of published contributions will be original articles reporting on clinical data from general and visceral surgery, while endocrine surgery will also be covered. Papers on basic surgical principles from the fields of traumatology, vascular and thoracic surgery are also welcome. Evidence-based medicine is an important criterion for the acceptance of papers.