视频辅助胸腔镜手术的肺切除后广泛的皮下肺的危险因素:一个病例对照研究
Tingting Liu1, Jing Feng1, Xiaoxin Liu1
1Shanghai Chest Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
概括
肺部手术后广泛的皮下肺与特定的手术有关. 细分切除术,分叶切除术和广泛的多叶膜粘附是需要注意的关键风险因素.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术并发症 手术并发症
背景情况:
- 广泛的皮下肺瘤 (eSE) 可能导致长时间住院和死亡.
- 肺切除后ESE的危险因素尚未得到充分了解.
研究的目的:
- 确定视频辅助胸腔镜手术 (VATS) 后eSE的流行率.
- 在接受VATS肺切除的患者中确定与eSE相关的风险因素.
主要方法:
- 追溯匹配的病例控制研究.
- 在4339名患者中,86例eSE病例和258例对照病例 (2018年10月至2020年10月).
- 对照组根据年龄和性别进行了匹配.
主要成果:
- eSE发病率为2.05%,其中75.58%发生在手术后1-4天.
- 单变量分析表明,较低的BMI,较差的肺功能和更大的血液损失是潜在的因素.
- 多变量分析确定了细分切除术 (OR=3.130),叶片切除术 (OR=4.487) 和广泛的膜粘附 (OR=4.514) 作为独立的危险因素.
结论:
- 细分切除术,分叶切除术和广泛的肺部粘附是VATS后eSE的独立风险因素.
- 这些发现有助于对eSE的风险分层和管理.
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