二次自发性肺胸外科手术与慢性肺部疾病
Kazuhisa Tanaka1, Hidemi Suzuki1, Terunaga Inage1
1Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Chiba, Japan.
概括
在患有慢性肺病的患者中,二次自发性肺胸炎 (SSP) 的手术治疗结果显示,慢性阻塞性肺病 (COPD) 的结果与慢性阻塞性肺病 (COPD) 的结果相似,但间歇性肺炎 (IP) 的结果不利. 建议对IP患者进行仔细考虑.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 医学研究 医学研究
背景情况:
- 二次自发性肺胸炎 (SSP) 是已知的扩散性肺部疾病的老年患者的并发症.
- 外科手术是自发性肺胸炎的治疗选择,但结果因潜在的肺部疾病而异.
研究的目的:
- 分析慢性肺部疾病患者的二次自发性肺胸炎 (SSP) 手术治疗结果.
- 为了比较与慢性阻塞性肺病 (COPD) 和间歇性肺炎 (IP) 相关的原发性自发性肺胸病 (PSP) 和SSP之间的发病率和复发率.
主要方法:
- 在2006年1月至2016年10月期间,对242名接受自发性肺胸外科手术的患者进行了回顾性评估.
- 收集的数据包括患者背景,手术治疗细节,术后并发症,死亡率和复发率.
- 患者被分为原发性自发性肺胸炎 (PSP),慢性阻塞性肺病 (COPD) 的SSP和间歇性肺炎 (IP) 的SSP.
主要成果:
- 在242名患者中,有144人患有PSP,98人患有SSP (57名COPD,21名IP).
- 手术后并发症的发生率为11.1% (PSP),19.3% (COPD-SSP) 和42.9% (IP-SSP).
- 复发率为21.5% (PSP),5.3% (COPD-SSP) 和28.6% (IP-SSP) 的情况.
结论:
- 在COPD患者中,SSP的外科结局 (发病率和复发率) 与PSP相似.
- 与PSP相比,SSP患有间歇性肺炎的患者患病率和复发率显著增加.
- 在间歇性肺炎的SSP患者的手术干预需要仔细考虑,因为不利的结果.
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