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支气管镜肺体积减小:突出显示患者选择过程

Max J Martin1, Megan M Dulohery Scrodin1, Eric S Edell1

  • 1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.

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概括

一种多学科的方法改善了患者选择的支气管镜肺体积减小 (BLVR) 带内支气管,提高了晚期肺患者的结果. 仔细查将不合适的候选人排除在外,优化治疗的成功.

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科学领域:

  • 肺部病理学 肺部病理学
  • 干预性肺病学 干预性肺病学
  • 胸部外科手术 胸部外科手术

背景情况:

  • 晚期肺气的严重呼吸障碍往往需要除了医疗治疗之外的干预措施.
  • 越来越多地使用使用内支气管的支气管镜肺体积减小术 (BLVR).
  • 有效的BLVR高度依赖于细致的患者选择.

研究的目的:

  • 详细介绍一个机构对BLVR患者的选择过程.
  • 分析这种选择过程对程序结果的影响.
  • 强调在BLVR候选人评估中多学科方法的重要性.

主要方法:

  • 从2019年3月到2021年10月,对2402名转诊患者进行了审查.
  • 对161名被考虑接受BLVR的患者进行了多学科审查.
  • 排除标准和程序结果的分析.

主要成果:

  • 32.9%的审查患者被选为门;21.7%接受了手术.
  • 不兼容的CT分析,恶性瘤和需要康复是排除的主要原因.
  • 58.6%的人实现了目标叶片崩,与螺旋计改善相关.
  • 并发症包括肺胸部 (34.3%) 和需要进行二次手术的患者 (19).

结论:

  • 多学科的方法使BLVR的候选人选择个性化.
  • 这一过程有效地排除了不太可能受益或面临更高风险的患者.
  • 优化的选择提高了BLVR程序的成功率和安全性.