肺动脉内关节切除术对于肺动脉肉瘤患者的结果
Zhaohua Zhang1,2, Yanan Zhen2, Jingwen Liu1,2
1Peking University China-Japan Friendship School of Clinical Medicine, Beijing, China.
Frontiers in cardiovascular medicine
|July 17, 2024
概括
肺动脉肉瘤 (PAS) 的管理具有挑战性. 肺内关节切除术为PAS提供了息益处,并将其与辅助疗法结合起来可以改善长期存活率.
科学领域:
- 心血管外科心血管外科
- 胸部瘤学 胸部瘤学
- 罕见疾病 罕见疾病
背景情况:
- 肺动脉肉瘤 (PAS) 是一种罕见的恶性瘤,其最佳治疗策略尚不清楚.
- 关于PAS手术干预的疗效的数据有限.
研究的目的:
- 报告有关PAS肺内关节切除术的机构经验.
- 评估接受此程序的PAS患者的结果和预后.
主要方法:
- 从2016年12月到2023年9月接受肺内关节切除术的20名PAS患者的回顾性分析.
- 数据收集包括临床特征,手术期间的细节,术后的结果和生存率.
- 随访数据分析了复发,转移和死亡率.
主要成果:
- 20名PAS患者接受了肺内关节切除术,19名患者患有内脏肉瘤.
- 术后死亡率为15% (3名患者).
- 随访时间中位数为14个月;1年和2年生存率分别为66.4%和55.3%. 11名患者出现复发/转移,5名患者死亡.
结论:
- 肺内关节切除术是一种缓和但有效的PAS治疗方法.
- 化学疗法和向治疗等辅助疗法对于有利的长期生存结果至关重要.
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