视频辅助胸腔镜手术用于儿童非囊性纤维化支气管切除
Fengxia Ding1,2, Zhengxia Pan3,2, Chun Wu3,2
1Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China.
Therapeutic advances in respiratory disease
|February 8, 2024
概括
视频辅助胸腔镜手术 (VATS) 与胸腔切除术相比,为儿科支气管切除提供了一种不那么侵入性的方法. 虽然VATS可能有更长的操作时间,但它会减少血液流失,疼痛和住院时间,证明安全有效.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 呼吸系统医学 呼吸系统医学
背景情况:
- 儿科支气管切除症是儿童常见的呼吸系统疾病.
- 儿科支气管病的手术治疗,特别是使用视频辅助胸腔镜手术 (VATS) 是一个有争议的问题.
研究的目的:
- 为了比较胸腔镜手术 (VATS) 与胸腔切除术在治疗儿科支气管病的临床疗效.
- 分析小儿支气管切除症患者使用VATS手术治疗经验.
主要方法:
- 一项回顾性单中心队列研究分析了46名患有支气管支障碍的儿科患者.
- 患者被分为VATS (25例) 和胸切除术 (21例) 组.
- 对比分析包括临床数据,手术参数,恢复指标和并发症.
主要成果:
- 在VATS和胸切除组之间没有观察到基线特征的显著差异.
- VATS的操作时间较长 (p<0.001),但在减少手术内流血,输血需求,术后疼痛,通风时间,胸管排水和住院 (p<0.05) 方面显示出显著优势.
- 虽然并发症的发病率较低,但在统计学上并不显著 (p=0.152),并且长期结果相似 (p=0.493).
结论:
- 儿童支气管切除术的手术治疗具有可接受的并发症和死亡率.
- 视频辅助胸腔镜手术 (VATS) 与胸腔切除术相比具有优势,包括最小的创伤,减少疼痛,更快的恢复和更少的并发症.
- 增值税是一种安全有效的手术选择,用于选择患有支气管切除症的儿科患者.
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