患有肺癌和间歇性肺异常的患者的术后肺功能
Norifumi Tsubokawa1, Takahiro Mimae1, Takeshi Mimura2
1Department of Surgical Oncology, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
General thoracic and cardiovascular surgery
|May 8, 2024
概括
间歇性肺异常在早期非小细胞肺癌的切切除后对肺功能影响最小. 然而,像细分切除术或分叶切除术这样的解剖切除术导致肺功能结果明显恶化.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 在接受肺癌手术的患者中,间歇性肺异常 (ILA) 越来越多地被发现.
- 非小细胞肺癌 (NSCLC) 切除后ILA对术后肺功能的影响仍然是一个研究领域.
研究的目的:
- 调查放射性间歇性肺异常对手术后肺功能在早期非小细胞肺癌患者的影响.
主要方法:
- 对1191名患有临床阶段IANSCLC且经过肺切除的患者进行了回顾性审查.
- 在患有ILA和没有ILA的患者之间比较术后肺功能减少率.
- 外科手术的分层分为形切除,1-2段切除和3-5段切除组.
主要成果:
- 在ILA和没有ILA的患者之间,在切除6个月后的肺功能减少没有显著差异.
- 在ILA患者的解剖切除 (细分切除/脑切除) 后,与没有ILA患者相比,肺功能减少显著增加.
- 根据特定的放射性ILA分类,结果没有显著差异.
结论:
- 对NSCLC的切除显示在ILA存在时对肺功能的影响很小.
- 针对NSCLC的解剖切除 (分片切除,分片切除) 会导致ILA患者的肺功能明显恶化.
- 在手术前确定ILA对于在解剖肺切除后预测术后肺功能至关重要.
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