在外周肺瘤的皮肤冷移除过程中,使用外气保护肋间神经
Julian A Westphal1,2, Alexander Graur1,2, Florian J Fintelmann1
1Department of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114.
Radiology. Cardiothoracic imaging
|October 16, 2025
概括
肺外气注射是一种可行的技术,可以在肺瘤冷过程中保护肋间神经. 这种简单的方法成功地预防了在经过图像导导热切除术的患者的肋间间神经疼痛.
科学领域:
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
- 胸部外科手术 胸部外科手术
背景情况:
- 透皮冷是对周边肺瘤的有效治疗方法.
- 对邻近的肋间神经的热损伤可能会导致严重的术后疼痛 (肋间神经疼痛).
- 在切除过程中保护肋间神经对于患者的舒适性和结果至关重要.
研究的目的:
- 评估使用外气注射来保护肋间神经免受热损伤的可行性.
- 评估该技术在肺部瘤的图像导向皮肤间冷化治疗过程中的安全性和有效性.
- 为了确定手术后肋间神经疼痛的发生率.
主要方法:
- 进行了一项回顾性,单中心,干预性队列研究.
- 分析了通过外气注射进行冷处理的患者的数据 (2022年8月至2024年11月).
- 技术上的成功是通过外气体的过程内CT确认来定义的;不良事件是使用CTCAE v5.0.0进行分级的.
主要成果:
- 在27个会议中进行了额外的空气注射,针对26名患者的31个肺瘤.
- 在89%的会议 (24/27) 中取得了技术上的成功.
- 没有发生与空气注射相关的不良事件,并且没有成功注射的患者报告过肋间神经疼痛.
结论:
- 将外气注入牙内胸膜是一种可行的安全技术.
- 这种方法有效地保护肺间神经在肺瘤冷过程中免受热损伤.
- 它提供了一种简单的策略,可以在经过皮肤切除的患者中预防肋间神经疼痛.
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