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      2. west china medical publishers
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        find Author "ZHANG Suting" 2 results
        • Research advances in perioperative care for pulmonary nodule ablation

          Ablation therapy for pulmonary nodules is increasingly utilized as a crucial minimally invasive intervention for early lung cancer, yet a unified standard for its perioperative nursing care remains elusive. This review systematically synthesizes the essential aspects and recent advancements in perioperative nursing for pulmonary nodule ablation, aiming to provide evidence-based guidance for clinical practice. Through a comprehensive literature review from January 2023 to April 2026 across databases including CNKI, Wanfang, VIP, and PubMed, we identify that optimal perioperative nursing should integrate across the entire patient management continuum: preoperative care emphasizes comprehensive assessment, psychological counseling, and breathing and breath-holding training; intraoperative care focuses on environment and equipment preparation, patient positioning, vital sign monitoring, operational assistance, and emergency response; and postoperative care is centered on vigilant condition observation, meticulous management of common complications such as pneumothorax, hemorrhage, pain, and fever (with particular attention to skin frostbite in cryoablation), health education, and stratified follow-up. Differences in nursing considerations for various ablation modalities, including radiofrequency, microwave, and cryoablation, are also discussed. Evidence suggests that implementing standardized and holistic perioperative nursing significantly reduces complication risks, enhances patient recovery, and is vital for ensuring the safety and efficacy of ablation therapy. Future improvements should actively incorporate information-based follow-up, artificial intelligence for risk assessment, and multidisciplinary collaboration models to further elevate nursing quality and improve long-term patient prognoses.

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        • Clinical application and advantages of the "three-dimensional integrated" respiratory training model in the perioperative care of pulmonary nodule ablation

          ObjectiveTo summarize and analyze the standardized operational procedure and preliminary clinical outcomes of a "three-dimensional integrated" respiratory training model, and to propose a safe adjunctive intervention for the perioperative management of lung nodule ablation. MethodsClinical data from patients who underwent lung nodule ablation at West China Hospital, Sichuan University from August to December 2025 were consecutively enrolled and analyzed. Results A total of 18 patients were included, comprising 10 males and 8 females, with a mean age of (62.8±11.2) years. Following the implementation of the preoperative "three-dimensional integrated" respiratory training model, the mean breath-holding time significantly increased from (22.9±7.5) s at admission to (32.6±6.9) s preoperatively (P<0.01). The volume measured on the respiratory trainer improved from a mean of(1 247.2±518.9) mL at admission to (1 550.0±546.1) mL preoperatively (P<0.01). Ablation modalities included radiofrequency ablation in 17 (94.4%) patients and cryoablation in 1 (5.6%) patient. During the ablation procedure, the mean number of needle adjustments was (1.4±0.8) times, and the mean localization time was (15.6±4.4) min. All patients successfully completed the ablation therapy, achieving a technical success rate of 100.0% with no intraoperative complications. ConclusionThe "three-dimensional integrated" respiratory training model effectively enhances patients' surgical tolerance, cooperation, and procedural precision. It offers a new, safe, and effective perioperative management strategy, especially for high-risk patients (e.g., the elderly or those with poor lung function) who may be unable to tolerate conventional surgery. This model demonstrates promising potential for widespread clinical application.

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          2. 射丝袜