Objective To compare the clinical value of microcoil and wired metal anchor hook in the preoperative localization of pulmonary nodules before video-assisted thoracoscopic surgery(VATS).Methods The clinical data of 84 patients with pulmonary nodules(90 lesions in total),who received preoperative localization of pulmonary nodules before VATS at the Hefei Municipal Third People's Hospital of China from July 2022 to May 2023,were retrospectively analyzed.Of the 84 patients,44 received microcoil localization method(microcoil localization group)and 40 received wired metal anchor hook localization method(wired metal anchor hook group).The success rate of pulmonary nodule localization,the time spent for localization,the complications,the number of CT scans,and the pathological results were compared between the two groups.Results In the microcoil localization group and wired metal anchor hook localization group,the success rate of pulmonary nodule localization was 95.92％(47/49)and 97.56％(40/41)respectively,the difference between the two groups was not statistically significant(P=0.875).The overall incidence of complications in the microcoil localization group was 20.46％,which was remarkably higher than 5.00％in the wired metal anchor hook localization group(P=0.036),the time spent for localization in the microcoil localization group was(19.85±0.86)min,which was obviously longer than(15.69±1.39)min in the wired metal anchor hook localization group(P＜0.01).The numbers of puncturing times and CT scans in the microcoil localization group were larger than those in the wired metal anchor hook localization group(both P＜0.05).No statistically significant differences in the incidences of pneumothorax,bleeding and cough,the depth distance between the localization needle and the pleura,and the postoperative pathological results existed between the two groups(all P＞0.05).Conclusion Compared with microcoil localization method,wired metal anchor localization method carries lower incidence of complications and is easy to operate,therefore,it is worthy of clinical promotion.
pulmonary nodulemicrocoilvideo-assisted thoracoscopic surgery
NETL
NSTL
万方数据
