左与右摧毁肺肺切除术:长期预后和与治疗结果差相关的关键因素
YunSong Li1, Heng Wang2, Chunmao Wang1
1Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, P.R. China.
The Journal of surgical research
|May 24, 2024
概括
与左侧肺切除术相比,用于破坏肺部 (DL) 疾病的右侧肺切除术增加了结核病复发和支气管囊/肺风险. 慢性肺性阿斯伯吉洛症与二次呼吸系统衰竭有关.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 关键护理医学 关键护理医学
背景情况:
- 摧毁肺部 (DL) 疾病对手术管理构成重大挑战.
- 肺切除术是晚期DL疾病的激进治疗选择.
- 了解左侧和右侧肺切除术的比较预后对于患者的治疗结果至关重要.
研究的目的:
- 为了比较DL患者的短期和长期术后预后,他们接受左侧与右侧肺切除术.
- 为了确定与DL患者肺切除术后不良治疗结果相关的关键因素.
主要方法:
- 对128名经过肺切除术的DL患者进行了回顾性分析.
- 患者被分为左侧 (104例) 和右侧 (24例) 肺切除组.
- 分析了临床特征和预后因素,并在两组之间进行了比较.
主要成果:
- 右肺切除术组显示了更高的手术前糖尿病,慢性肺阿斯伯吉洛症,手术内流血和术后并发症,包括呼吸衰竭,再住院,结核病 (TB) 复发,支气管 (BPF) 和.
- 慢性肺阿斯伯吉洛症与二次呼吸衰竭的几率增加有关 (aOR:5.234).
- 右肺切除术与结核病复发的几率增加相关 (aHR:4.017) 和BPF/瘤 (aHR:5.655).
结论:
- 与左侧肺切除术相比,对DL疾病的右侧肺切除术与术后结核病复发和BPF/血的风险更高.
- 在计划为DL患者进行肺切除术时,建议谨慎和仔细考虑这些风险.
- 应该采取积极的措施来预防术后不良事件.
相关概念视频
01:27Pneumothorax-II
139
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
139
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
188
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
188
01:30Pneumonia III: Complications and Assessment
202
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
202
01:28Pneumonia IV: Management
322
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
322
01:21Cancer Survival Analysis
343
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
343