经过一次性自发性肺胸切除后,通过一次性管胸切除或手术进行重新治疗
Valtteri A Vilkki1, Ville Kytö2,3, Vesa Vilkki2
1Department of Surgery, University of Turku, Turku, Finland.
概括
外科手术显著降低了初级自发性肺胸部的再治疗率,相比于管胸切除术 (TT). 用TT治疗的患者在五年内复发和重新手术的几率更高.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 医疗服务研究 医疗服务研究
背景情况:
- 在初级自发性肺胸治疗后,对长期医疗利用的数据有限.
- 了解重复治疗率对于评估原发性自发性肺胸炎的医疗负担至关重要.
研究的目的:
- 评估初级自发肺胸部治疗后长达5年的再治疗率.
- 为了比较手术和管胸腔切除 (TT) 之间的结果,用于原发性自发性肺胸.
- 估计与原发性自发性肺胸相关的医疗保健系统负担.
主要方法:
- 芬兰 (2005-2018) 基于注册的回顾性研究.
- 包括接受TT或手术治疗的原发性自发性肺胸病患者.
- 识别再住院,复发再治疗和并发症.
主要成果:
- 手术显示复发风险较低 (HR 0.50) 比TT.
- 在5年后,53.2%的TT患者和33.8%的手术患者需要重新治疗.
- 在5年后的重复手术率为TT的36.0%,而手术的18.8%.
结论:
- 在初级自发性肺胸部治疗后,长期的再干预和住院率很高.
- 与手术相比,管胸切除术 (TT) 与重复治疗和重复手术率显著增加有关.
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