肺移植中的胸部和脊椎形:外科手术期间的并发症和长期预后
Etsuhiro Nikkuni1, Takashi Hirama2,3, Masahiro Ui4
1Department of Rehabilitation, Tohoku University Hospital, Sendai, Miyagi, Japan.
BMC pulmonary medicine
|July 18, 2024
概括
肺移植患者的胸部形增加了术后并发症,可能需要进行体积减小手术. 然而,胸部和脊椎形都不会显著影响长期的肺移植结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 移植医学是一种移植医学.
- 肺部医学 肺部医学
背景情况:
- 肺移植 (LTx) 对末期呼吸道疾病至关重要.
- 精确的捐赠者-接受者尺寸匹配对于移植功能至关重要.
- 胸部和脊椎形使尺寸匹配和LTx成功复杂化.
研究的目的:
- 评估胸部和脊椎形对LTx接受者的术后并发症的影响.
- 评估这些形对长期LTx预后的影响.
- 为了确定与形相关的特定干预措施,如体积减小手术.
主要方法:
- 对129名LTx接受者的回顾性队列研究.
- 从2007年1月到2022年10月收集的数据.
- 分析重点关注手术前并发症和患有和没有变形的患者的长期结果.
主要成果:
- 17.8%的人患有胸部形 (乳房挖掘); 16.3%的人患有脊椎形.
- 变形组显示了更高的术后并发症率,包括需要体积减小手术.
- 长期预后在各组之间没有显著差异;脊椎形的影响最小.
结论:
- 胸部形在LTx接受者中很普遍,并且与外科手术期间并发症的增加有关.
- 胸部形可能需要进行体积减小手术.
- 胸部和脊椎形都没有显著影响长期的LTx预后.
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