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Miljana Poparić1, Jovan Baljak1, Ivan Ergelašev2
1Oncology, Faculty of Medicine, University of Novi Sad, Novi Sad, SRB.
通过低剂量计算机断层扫描 (LDCT) 进行的肺癌查检测到更多的早期癌症,但与对照组相比,查参与者的手术并发症较高,住院时间较长.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 在瘤学瘤学.
背景情况:
- 沃伊沃迪纳肺部疾病研究所 (IPBV) 在2020年9月启动了一项使用低剂量计算机断层扫描 (LDCT) 的肺癌查计划.
- 视频辅助胸部手术 (VATS) 叶切除术是早期肺癌的标准治疗方法,但查计划参与者的术后并发症率需要进一步调查.
研究的目的:
- 通过查计划确定的肺癌患者和匹配的对照组之间的手术并发症的频率和住院时间的比较.
主要方法:
- 一项回顾性,观察性,单心研究比较了IPBV查计划中的34名肺癌患者和102名匹配的对照患者.
- 匹配标准包括性别,疾病阶段,病原组织学类型,TNM阶段和外科切除程度.
- 收集的数据包括人口统计,吸烟状况,并发症,肺功能,手术风险,淋巴结切除,STAS,并发症 (感染,出血,空气泄漏,粘结),重新排水和住院.
主要成果:
- 与对照组相比,查组的患者出现了更高的术后感染,出血,长时间的空气泄漏和需要重新排水的发病率.
- 查计划的参与者具有高的手术风险,长时间的空气泄漏和膜粘附,经历了显著更长的住院时间.
结论:
- 肺癌查计划对于早期检测至关重要,但对于已确定患者的手术干预可能会增加术后并发症.
- 为了优化治疗策略和减轻肺癌查计划中的患者手术风险,需要进行进一步的研究.
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