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临床试验/NCT07389889
NCT07389889尚未招募不适用

Percutaneous Robotic Navigation Microwave Ablation Versus CT-guided Microwave Ablation in the Treatment of Pulmonary Nodules With Ground-glass Opacity: A Prospective Randomized Controlled Trial

Fujian Medical University Union Hospital0 个研究点目标入组 116 人开始时间: 2026年2月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
尚未招募
入组人数
116
主要终点
Accuracy of puncture

研究概览

简要总结

  1. To compare the precision of robot-guided microwave ablation and CT-guided microwave ablation in the treatment of ground-glass nodules.
  2. To evaluate the safety of robot-assisted microwave ablation and CT-guided microwave ablation in the treatment of ground-glass nodules.
  3. Explore the application potential of robot navigation microwave ablation technology in the treatment of pulmonary nodules.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Aged 18 to 85 years
  • Nodules measuring 3-30mm with ground-glass opacities constituting ≥75% of the lesion
  • Preoperative clinical evaluation confirming no hilar or mediastinal lymph node metastasis and no distant metastasis
  • Patients diagnosed as stage IA primary peripheral lung cancer according to the UICC 8th TNM staging system, and with one of the following conditions:
  • (i) cannot undergo surgical resection due to poor cardiopulmonary function or advanced age (ii) refusing or unwilling to undergo surgical resection (iii) with newly developed or residual pulmonary nodules after early-stage primary lung cancer surgery (iv) with unilateral lung disease who cannot undergo unilateral surgical resection (v)with multiple primary lung cancers unsuitable for surgical resection
  • Preoperative ECOG physical status score is 0/1
  • ASA score is I-III
  • Patients voluntarily participate in this study and sign the informed consent form

排除标准

  • Smoking cessation duration <2 weeks
  • Lesions adjacent to pulmonary artery-vein main trunks
  • Lesions near the hilum or adjacent to lobar bronchi
  • Pregnancy or lactation status
  • Severe mental disorders
  • History of other malignancies within 5 years
  • Unstable angina or myocardial infarction within 6 months with coronary angiography showing severe stenosis of major coronary branches
  • Cerebral infarction or hemorrhage within 6 months
  • Continuous systemic corticosteroid therapy within 1 month
  • Patients or their authorized persons who do not wish to comply with the study protocol
  • Patients with other investigator-assessed ineligibility for the trial

研究组 & 干预措施

Group A: Experimental group: Microwave ablation under robot navigation

Active Comparator

Microwave ablation under robot navigation

干预措施: Robot (Procedure)

Group B: CT-guided microwave ablation

Sham Comparator

干预措施: CT scan (Procedure)

结局指标

主要结局

Accuracy of puncture

时间窗: 24 month

The proportion of patients who are successfully punctured to the target pulmonary nodule on the first attempt of puncture among all patients; whether the puncture is successful is validated by CT scan.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

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