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对于患有多叶脉的患者,微创性胸内负压疗法和柔性胸腔镜 (FlexVATS) 是最适合的
Björn-Ole Stüben1, Gabriel A Plitzko2, Julia Sauerbeck3
1Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany. stuebenb@me.com.
灵活的视频辅助胸腔镜外科手术 (FlexVATS) 提供了一种有前途的新治疗方式,可以在71%的患者中实现感染解决. 与传统方法相比,这种微创方法可以减少并发症并改善结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性手术的方法
- 传染性疾病 传染性疾病
背景情况:
- 胸腔瘤治疗传统上涉及显著的手术干预,并发症和死亡率高.
- 需要替代性,不那么侵入性的治疗方案来改善患者的治疗结果.
- 灵活的视频辅助胸腔镜手术 (FlexVATS) 正在作为一种新的方法被探索.
研究的目的:
- 评估FlexVATS与脱bridement和负压疗法的疗效,作为对膜 empyema的替代治疗方法.
- 为了评估治疗的成功,住院,死亡率和瘤腔体积的减少.
- 将结果与传统的手术治疗方法进行比较.
主要方法:
- 一个前性的病例系列,包括17名连续使用FlexVATS.治疗的肺肺炎患者.
- 纳入标准:第一线治疗干预,没有先前的empyema治疗.
- 主要终点:感染解决;次要终点:住院,死亡率,腔体积.
- 排除标准:先前的排水或手术为 empyema.
主要成果:
- 在17名患者中有12名 (71%) 感染成功消失.
- 观察到恩皮埃马腔体积的显著减少.
- 平均真空治疗持续时间为15天;41%的带更换是在外科手术室进行的.
- 没有负压治疗相关的并发症.
- 90天死亡率的趋势低于传统治疗队列的历史趋势,尽管在统计学上并不显著.
结论:
- 带有脱bridement和负压治疗的FlexVATS是一种有前途的替代方案,用于治疗各种患者群体的肺 empyema.
- 该技术证明了可行性和改善结果的潜力.
- 需要进行更大的随机对照试验来证实这些发现并验证FlexVATS.
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