经过手术干预的empyema患者的长期结果:一个系统的审查
Jarrod Jolliffe1, Ben Dunne1, Jazmin Eckhaus1
1Department of Thoracic Surgery, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
ANZ journal of surgery
|June 19, 2024
概括
肺肺的外科手术可以改善肺功能,并长期减少呼吸障碍. 然而,它对生活质量的影响仍然不清楚,需要进一步研究最佳的手术策略.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 关键的护理关键的护理
背景情况:
- 腹肺显著导致患者的发病率和死亡率.
- 目前的文献讨论了对多发性 empyema 的最佳初始和最终疗法.
- 最近的证据表明,早期手术干预具有优越的短期结果.
研究的目的:
- 系统地审查现有证据,以了解肺部静脉瘤手术的长期结果.
- 评估手术对肺功能,呼吸障碍,死亡率和90天后生活质量的影响.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在三个数据库中进行了搜索,包括灰色文献.
- 包括11项研究和两个摘要,评估术后90天以上的结果.
主要成果:
- 提取了关于生活质量,呼吸不全,肺功能和死亡率/再入院的数据.
- 在慢性纤维胸部患者中,肺功能显著改善 (FEV1%,FVC%).
- 在所有包含的研究中发现了高偏差风险,限制了最终的结论.
结论:
- 手术干预可能在肺功能,长期呼吸困难和死亡率方面有好处.
- 手术对生活质量的长期影响仍然在很大程度上是未知的.
- 需要进一步的高质量前性试验与可比的组,以澄清手术的作用.
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