胸癌手术后翅膀骨的发生率:一项前性队列研究
Luiz Felipe Nevola Teixeira1, Fabio Sandrin1, Ruy Fernando Kuenzer Caetano da Silva2
1Department of Physiotherapy, European Institute of Oncology, Milano, Italy.
The Thoracic and cardiovascular surgeon
|May 3, 2024
概括
前,或翅膀 (WS),影响27.8%的肺癌手术患者. 较长时间的手术和特殊手术增加了WS的风险,许多病例持续了很长时间.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 神经外科 神经外科
背景情况:
- 肺癌手术是早期和局部晚期疾病的主要治疗方法.
- 前,导致翅膀骨 (WS),是胸部手术的潜在阳性并发症.
- 肺癌手术后WS的确切发生率尚不清楚.
研究的目的:
- 为了确定在接受肺癌手术的患者中翅膀骨 (WS) 的发生率.
- 为了确定与胸部手术后WS发展相关的风险因素.
主要方法:
- 对从肺癌手术患者收集的前性数据的回顾性分析 (2013年3月 - 2014年1月).
- 对WS的物理评估进行了手术前,手术后,出院时和1年的随访.
主要成果:
- 在485名患者中,有135人 (27.8%) 患有WS.
- 与WS显著相关的因素包括更长的手术时间,手术类型,淋巴切除术和新辅助治疗.
- 多变量分析证实了手术类型是WS的重要预测因素.
- 在1年的随访中,41.6%的患者继续表现出WS.
结论:
- 肺癌手术中WS的发生率很大,并且可能被诊断不足.
- 需要改善关于WS的评估和患者教育.
- 讨论手术策略,特别是避免微创手术时,可能有助于减少WS的发生率.
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