Application Analysis of CT-guided Sclerotherapy Combined with Intraoperative Body Surface Localization in the Surgical Treatment of Patients with Early Peripheral Lung Adenocarcinoma
Objective:To investigate the application of CT-guided sclerotherapy combined with intraoperative body surface localization in the surgical treatment of patients with early peripheral lung adenocarcinoma.Method:A total of 92 patients with early peripheral lung adenocarcinoma who underwent thoracoscopic wedge resection of the lung in Ganzhou Municipal Hospital from June 2020 to March 2024 were selected and divided into two groups according to different surgical localization methods.The control group(n=45)underwent intraoperative body surface localization,and the combined group(n=47)combined with CT-guided sclerotherapy localization.The localization effect,pulmonary function indexes and complications were compared between the two groups.Result:The localization success rate of the combined group was higher than that of the control group,and the localization exploration time and operation time were shorter than those of the control group,and intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).At 2 weeks after operation,the levels of forced vital capacity(FVC),peak expiratory flow(PEF)and the percentage of forced expiratory volume in the first second to the expected value(FEV1%pred)in two groups were lower than those before surgery,but all indexes in the combined group were higher than those in the control group,with statistical significance(P<0.05).The complication rate of combined group was lower than that of control group,the difference was statistically significant(P<0.05).Conclusion:CT-guided sclerotherapy combined with intraoperative body surface localization can improve the surgical localization effect of patients with early peripheral lung adenocarcinoma,shorten the operation time,reduce lung tissue injury,and reduce the incidence of complications.
Peripheral early lung adenocarcinomaIntraoperative body surface localizationCT-guidedSclerotherapy