与瘤相关的因素影响干预性支气管检查在恶性气道阻塞的成功
Melahat Uzel Şener1, Ayperi Öztürk1, Figen Öztürk Ergür1
1Department of Interventional Pulmonology, Ankara Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, University of Health Sciences, Ankara, Turkey.
Archives of Iranian medicine
|February 1, 2024
概括
为恶性中央气道阻塞 (MCAO) 选择患者进行内支气管治疗 (ET) 是一个挑战. 瘤大小超过54.5毫米,狭窄超过92%,混合病变预测MCAO治疗不成功.
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
- 在瘤学瘤学.
背景情况:
- 恶性中央气道阻塞 (MCAO) 对治疗选择提出了挑战.
- 内支气管治疗 (ET) 是MCAO的一个关键干预措施.
- 确定预测ET成功的因素对于患者管理至关重要.
研究的目的:
- 为了确定影响瘤相关因素的成功内支气管治疗 (ET) 恶性中央气道阻塞 (MCAO).
主要方法:
- 对MCAO的220个ET程序的回顾性分析 (2019年3月 - 2021年6月).
- 评估手术成功与内膜内膜阻塞百分比,瘤大小和病变类型之间的相关性.
主要成果:
- 与混合病变相比,纯内支气管病变的治疗成功率更高.
- 瘤>54.5毫米 (AUC=0.734) 和狭窄症>92% (AUC=0.733) 的成功率较低.
- 基于癌症起源 (肺与胸外) 或先前治疗,成功率没有显著差异.
结论:
- 混合性病变,瘤大小>54.5毫米和狭窄>92%是MCAO中ET失败的危险因素.
- 这些参数对于ET干预患者的选择至关重要.
- 优化患者选择可以改善MCAO管理的结果.
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