Safety and accuracy analysis of single-use CT-guided pulmonary nodule localization needle for solitary pulmonary nodule
10.3969/j.issn.1002-1671.2025.06.030
- VernacularTitle:CT引导下一次性肺结节定位针在孤立性肺结节应用中安全性与准确性分析
- Author:
Haifeng JIANG
1
;
Weidong HONG
;
Wei HU
;
Jing XU
Author Information
1. 滁州市第一人民医院胸心外科,安徽 滁州 239000
- Publication Type:Journal Article
- Keywords:
computed tomography;
pulmonary nodule localization needle;
solitary pulmonary nodule
- From:
Journal of Practical Radiology
2025;41(6):1033-1036
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and accuracy of the disposable pulmonary nodule localization needle under CT-guided in the application for solitary pulmonary nodule(SPN).Methods A retrospective selection was conducted on 150 patients with SPN.All patients underwent thoracoscopic surgery after the lesions were localized by the disposable pulmonary nodule localization needle under CT-guided.According to the localization accuracy,they were divided into the better localization group(n=91)and the poorer localization group(n=59).Multivariate logistic regression analysis was performed to identify risk factors for poorer localization accuracy.Latent class analysis of the model was applied to compare the differences in the distribution characteristics and patterns of the influencing factors.Results Compared with the better localization group,the poorer localization group had an increase in both adverse postoperative pathological conditions and complications(P＜0.05).Age,course of disease,body mass index(BMI),smoking history,drinking history,diameter of the lesion,vertical distance from the nodule to the pleura,and thickness of the chest wall were the risk factors for poorer localization accuracy(P＜0.05).In both the high-risk group and the low-risk group with poorer localization accuracy,there were two mutually independent latent class analysis models.Compared with the low-risk group with poorer localization accuracy,the high-risk group exhibited a higher proportion of"more distribution of risk factors"(P＜0.05).Conclusion The quality of localization accuracy directly affects the probabilities of postoperative pathological conditions and complications.
