Factors influencing the complications of CT-guided preoperative Hook-wire localization for pulmonary nodules
10.3969/j.issn.1002-1671.2025.09.025
- VernacularTitle:CT引导下术前Hook-wire定位肺结节并发症的影响因素
- Author:
Bing ZHANG
1
;
Changpeng SUN
;
Tianhua YUE
Author Information
1. 南通大学杏林学院附属建湖医院影像科,江苏 建湖 224700
- Publication Type:Journal Article
- Keywords:
pulmonary nodules;
CT-guided;
Hook-wire localization
- From:
Journal of Practical Radiology
2025;41(9):1537-1540,1561
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence factors of complications of CT-guided preoperative Hook-wire localization for pulmonary nodules.Methods The clinical data of 84 patients with preoperative Hook-wire localization for pulmonary nodules were retrospectively analyzed,including age,gender,lesion size,localization time,needle injection time and so on.The influence factors of complications of Hook-wire localization for pulmonary nodules were assessed using multivariate logistic regression analysis.Results All patients were successfully completed preoperative localization.It was found that 7 patients had locator needle decoupling.The incidences of irritating cough,pulmonary hemorrhage and pneumothorax were 26.19％(22/84),22.62％(19/84)and 27.38％(23/84),respec-tively,all of which were relieved after symptomatic treatment.Multivariate logistic regression analysis revealed that"risk period"time was the risk factor for locator needle decoupling[odds ratio(OR)=1.053,95％confidence interval(CI)1.011-1.113,P＜0.05].Localization time was the risk factor for irritating cough(OR=1.289,95％CI 1.096-1.575,P＜0.05)and pneumothorax(OR=1.271,95％CI 1.079-1.553,P＜0.05).Needle injection time was a risk factor for pulmonary hemorrhage(OR=28.58,95％CI 3.177-1 272,P＜0.05).Conclusion CT-guided preoperative Hook-wire localization for pulmonary nodules is safe and feasible."risk period"time,localization time and needle injection time are the influence factors of complications.
