Use of Thread-hanging Microwave Antenna to Assist in Precise Puncture of Lung Nodule and Influencing Factors

Objective To explore a precise method with a microwave antenna for puncture of pulmonary nodules and analyze phenomena that affect the puncture results. Methods Clinical data of 107 cases with solitary malignant pulmonary nodules were collected, and the mean length of pulmonary nodules was 13.6±0.6...

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Main Authors: JIN Hui, TAN Jie, SONG Shan, WANG Yinghu, MA Lihua
Format: Article
Language:zho
Published: Magazine House of Cancer Research on Prevention and Treatment 2024-02-01
Series:Zhongliu Fangzhi Yanjiu
Subjects:
Online Access:http://www.zlfzyj.com/en/article/doi/10.3971/j.issn.1000-8578.2024.23.0666
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author JIN Hui
TAN Jie
SONG Shan
WANG Yinghu
MA Lihua
author_facet JIN Hui
TAN Jie
SONG Shan
WANG Yinghu
MA Lihua
author_sort JIN Hui
collection DOAJ
description Objective To explore a precise method with a microwave antenna for puncture of pulmonary nodules and analyze phenomena that affect the puncture results. Methods Clinical data of 107 cases with solitary malignant pulmonary nodules were collected, and the mean length of pulmonary nodules was 13.6±0.6 mm in CT axial position. A thread-hanging method was used to assist the puncture of pulmonary nodules. The procedure was successful when the needle was not withdrawn and inserted into the central region of the nodule. The success rate and complications of the pulmonary procedure were recorded. The incidence of the following phenomena were also documented: needle coercing, needle slipping, needle tip pushing, pulmonary nodule prolapsing, radial nodule deformation, nodular masking, and radial movement distance of needle tip. Results In all of 107 cases evaluated, the antenna puncture was successful in 101 cases (94.4%) but failed in 6 cases (5.6%). Pneumothorax and pulmonary hemorrhage occurred in 23 (21.5%) and 19 cases (17.8%), respectively. The following phenomena occurred: needle coercing in 9 cases (8.4%), needle slipping in 6 cases (5.6%), needle tip pushing in 19 cases (17.8%), pulmonary nodule prolapsing in 15 cases (14%), radial nodule deformation in 14 cases (13.1%), and nodular masking in 5 cases (4.7%). The mean radial adjusting distance of needle tip was 0.7±0.4 cm. Conclusion The thread-hanging method can assist in the accurate puncture of microwave antenna for pulmonary nodules. We should focus and deal with phenomena that may occur and affect the result of puncture.
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spelling doaj.art-835cf28fa73d4255893ed4ca8fd1ae2b2024-03-02T09:45:05ZzhoMagazine House of Cancer Research on Prevention and TreatmentZhongliu Fangzhi Yanjiu1000-85782024-02-0151211011410.3971/j.issn.1000-8578.2024.23.0666zlfzyj-51-2-110Use of Thread-hanging Microwave Antenna to Assist in Precise Puncture of Lung Nodule and Influencing FactorsJIN Hui0TAN Jie1SONG Shan2WANG Yinghu3MA Lihua4Department of Oncology, The 4th Hospital of Hebei Medical University, Shijiazhuang 050011, ChinaDepartment of Respiratory, East Campus of Shijiazhuang TCM Hospital, Shijiazhuang 050033, ChinaDepartment of Respiratory, The 4th Hospital of Hebei Medical University, Shijiazhuang 050011, ChinaDepartment of Respiratory, East Campus of Shijiazhuang TCM Hospital, Shijiazhuang 050033, ChinaDepartment of Respiratory, East Campus of Shijiazhuang TCM Hospital, Shijiazhuang 050033, ChinaObjective To explore a precise method with a microwave antenna for puncture of pulmonary nodules and analyze phenomena that affect the puncture results. Methods Clinical data of 107 cases with solitary malignant pulmonary nodules were collected, and the mean length of pulmonary nodules was 13.6±0.6 mm in CT axial position. A thread-hanging method was used to assist the puncture of pulmonary nodules. The procedure was successful when the needle was not withdrawn and inserted into the central region of the nodule. The success rate and complications of the pulmonary procedure were recorded. The incidence of the following phenomena were also documented: needle coercing, needle slipping, needle tip pushing, pulmonary nodule prolapsing, radial nodule deformation, nodular masking, and radial movement distance of needle tip. Results In all of 107 cases evaluated, the antenna puncture was successful in 101 cases (94.4%) but failed in 6 cases (5.6%). Pneumothorax and pulmonary hemorrhage occurred in 23 (21.5%) and 19 cases (17.8%), respectively. The following phenomena occurred: needle coercing in 9 cases (8.4%), needle slipping in 6 cases (5.6%), needle tip pushing in 19 cases (17.8%), pulmonary nodule prolapsing in 15 cases (14%), radial nodule deformation in 14 cases (13.1%), and nodular masking in 5 cases (4.7%). The mean radial adjusting distance of needle tip was 0.7±0.4 cm. Conclusion The thread-hanging method can assist in the accurate puncture of microwave antenna for pulmonary nodules. We should focus and deal with phenomena that may occur and affect the result of puncture.http://www.zlfzyj.com/en/article/doi/10.3971/j.issn.1000-8578.2024.23.0666ct-guidedmicrowave antennaaccurate puncturepulmonary nodules
spellingShingle JIN Hui
TAN Jie
SONG Shan
WANG Yinghu
MA Lihua
Use of Thread-hanging Microwave Antenna to Assist in Precise Puncture of Lung Nodule and Influencing Factors
Zhongliu Fangzhi Yanjiu
ct-guided
microwave antenna
accurate puncture
pulmonary nodules
title Use of Thread-hanging Microwave Antenna to Assist in Precise Puncture of Lung Nodule and Influencing Factors
title_full Use of Thread-hanging Microwave Antenna to Assist in Precise Puncture of Lung Nodule and Influencing Factors
title_fullStr Use of Thread-hanging Microwave Antenna to Assist in Precise Puncture of Lung Nodule and Influencing Factors
title_full_unstemmed Use of Thread-hanging Microwave Antenna to Assist in Precise Puncture of Lung Nodule and Influencing Factors
title_short Use of Thread-hanging Microwave Antenna to Assist in Precise Puncture of Lung Nodule and Influencing Factors
title_sort use of thread hanging microwave antenna to assist in precise puncture of lung nodule and influencing factors
topic ct-guided
microwave antenna
accurate puncture
pulmonary nodules
url http://www.zlfzyj.com/en/article/doi/10.3971/j.issn.1000-8578.2024.23.0666
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