在开放的气管狭窄与皮肤上的气管切除术
Darby L Keirns1, Ajay K Rajan1, Shirline H Wee1
1Department of Surgery, Creighton University School of Medicine, Phoenix, USA.
Cureus
|April 29, 2024
概括
这项研究发现,开放式和穿皮式气管切除术之间的气管管狭窄风险没有显著差异. 手术技术不应该影响有关气管切除手术的决定.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 肺部病理学 肺部病理学
背景情况:
- 气管切除术是一种常见的安全气道的程序.
- 气管狭窄是气管切除术后潜在的长期并发症.
- 了解不同气管切除术技术的比较风险对于患者护理至关重要.
研究的目的:
- 为了比较空气管狭窄的发病率在开放式空气管切除术和穿皮式空气管切除术后.
- 为了评估与气管狭窄症的风险因素,气管狭窄术后的发展.
主要方法:
- 从2017年1月到2023年6月,对从2017年1月到2023年6月接受开放式或穿皮式气管切除术的患者进行了回顾性队列研究.
- 考克斯的比例危险模型用于评估气管狭窄风险的差异.
- 死亡被视为一种竞争性风险,以考虑在患有狭窄症之前死亡的患者.
主要成果:
- 总共包括828名患者;2.5%的人患有气管狭窄症.
- 气管狭窄发生在3.5%的皮肤通道气管切割患者和2.0%的开放气管切割患者中.
- 在两种技术之间,发展气管狭窄的风险在统计学上是相似的 (HR:2.05,p = 0.108).
结论:
- 在开放式和穿皮式气管切除术之间,发展气管狭窄的风险没有显著差异.
- 气管狭窄是一种长期的并发症,似乎不受选择的手术技术的影响.
- 开放式或穿皮式气管切除术的决定不应基于气管狭窄症的风险.
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