气管切除和缩在输管后气管狭窄症:一个系统的审查
Pablo Álvarez-Maldonado1, Grisel Hernández-Ríos1, Alejandro Hernández-Solís1
1Division of Pulmonology and Thoracic Surgery, General Hospital of Mexico "Dr Eduardo Liceaga," Mexico City, Mexico.
概括
使用端到端解剖的手术切除是输管后气管管道狭窄症的标准. 这次对110名患者的范围审查发现,短期内安全有效,但低水平的证据限制了坚定的结论.
科学领域:
- 手术 手术 手术
- 肺部病理学 肺部病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 输入管后气管狭窄 (PITS) 是长时间输入管的并发症.
- 进行端到端解剖的手术切除是PITS的黄金标准治疗.
- PITS手术管理的结果和特征没有得到很好的描述.
研究的目的:
- 进行对PITS现有文献的范围审查.
- 检查有关PITS手术管理的证据的范围,范围和特征.
- 描述患者的人口统计,狭窄特征,手术技术,并发症和结果.
主要方法:
- 对MEDLINE,Scopus,Ovid和Cochrane数据库进行范围审查.
- 纳入标准:患有PITS的成年患者,报告特征,手术管理和结果.
- 从10篇涉及110名患者的确定的文章 (病例报告/系列) 提取数据.
主要成果:
- 最常见的狭窄等级是3 (63.6%),主要在气管上三分之一 (98.2%).
- 常见的并发症包括消化不良 (11.3%),颗粒瘤 (7.3%),脱/空气泄漏 (4.5%),以及伤口感染 (3.6%).
- 复原症的发病率从2%到25%不等;没有报告的术后死亡率.
结论:
- 气管切除和初级解剖似乎是安全和有效的PITS在短期到中期.
- 目前的证据主要基于低级别的研究 (案例报告/系列).
- 低水平的证据需要谨慎,并阻止对长期结果的最终结论.
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