在接受选择性胸腔切除术和胸腔镜手术的患者中,术后肺部并发症
Iskander S Al-Githmi1, Abdulrahman Alotaibi2, Alaa Habeebullah2
1Cardiothoracic Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Cureus
|October 18, 2023
概括
这项研究发现,视频辅助胸腔镜手术 (VATS) 和胸腔切除术的术后并发症率相似. 然而,与胸切除术相比,VATS需要更多的阿片类药物来治疗疼痛.
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
- 外科手术的结果
背景情况:
- 手术后的肺部并发症在胸部手术中很常见.
- 视频辅助胸腔镜手术 (VATS) 为开放胸切除术提供了一种微创的替代方案.
- 了解并发症率和康复模式对于患者护理至关重要.
研究的目的:
- 为了比较VATS和胸切除术之间的术后并发症率.
- 为了评估重症监护室 (ICU) 入院和胸管持续时间的差异.
- 评估VATS后的阿片类药物需求与胸切除术相比.
主要方法:
- 回顾性队列研究包括151名成年患者.
- 收集了1,7和30天后术后并发症的数据.
- 在VATS和胸切除术组之间对结果的比较.
主要成果:
- 在VATS (19.4%) 和胸切除术 (23.3%) 之间的30天术后并发症率没有显著差异.
- 与胸切除术 (65.1%) 相比,VATS组的ICU入院率明显较低 (33.3%).
- 增值税组的阿片类药物需求比胸切除组 (32.6%) 高 (44.4%).
结论:
- 无论是VATS还是胸切除术,都表明术后并发症的发生率很低,没有显著差异.
- 增值税与减少ICU入院,但增加阿片类药物需求有关.
- 建议使用更大的样本大小进行进一步的研究,以提高统计能力.
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