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细分切除术与分片切除术:FEV1.0的变化是否准确地反映了手术后的心肺功能?
Yusuke Fujibayashi1,2, Masahiko Takata3, Noriaki Tsubota3
1Division of Thoracic Surgery, Kita-Harima Medical Center, 926-250 Ichiba-Cho, Ono, 675-1392, Japan. principia.a.y.f@gmail.com.
General thoracic and cardiovascular surgery
|June 18, 2024
概括
分段切除术比分管切除术更好地保持术后心肺功能,正如6分钟步行测试所示. 这种测试有效地评估了手术后的肺功能.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺功能测试试验 肺功能测试
- 心肺生理学 心肺生理学
背景情况:
- 之前的研究使用静态螺旋计对比了分管切除和分管切除后的术后呼吸功能.
- 静态螺旋计可能不能完全反映动态心肺功能.
- 目前正在研究6分钟步行测试在评估肺切除后功能变化的有用性.
研究的目的:
- 用螺旋计和6分钟步行测试来比较分管切除和分管切除之间的术后心肺功能.
- 为了评估运动期间心率,呼吸率和氧和度的动态变化.
- 为了确定细分切除术是否比叶片切除术更好地保护心肺功能.
主要方法:
- 评估了经过分管切除术 (n=21) 或分管切除术 (n=24) 的患者.
- 使用螺旋计测量1秒内强迫呼气体积 (FEV1.0).
- 6分钟的步行测试评估了步行前后心率 (HR),呼吸率 (RR) 和氧和 (SpO2) 的变化.
主要成果:
- 两组之间没有观察到FEV1.0减少的显著差异.
- 运动后HR和RR的增加没有显示出带切除和细分切除之间的显著差异.
- 与细分切除组相比,叶叶切除组观察到SpO2的显著降低 (p < 0.001).
- 切除部分数量的增加与较大的SpO2减少相关 (p = 0.002).
结论:
- 与分片切除术相比,分片切除术在6分钟步行测试期间显著抑制了SpO2的减少.
- 分段切除似乎对手术后心肺功能的影响较小.
- 6分钟步行测试是评估肺切除后术后心肺功能的一个有价值的工具.
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