对初级自发性肺胸部的方法:一个新的儿科外科诊所的经验
Fatma Sarac1, Mehmet Yazici1, Mehmet Özgür Kuzdan1
1Department of Pediatric Surgery, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
Heliyon
|September 16, 2024
概括
在青少年中,原发性自发性肺胸不常见,但可治疗. 与胸管插入相比,视频辅助胸腔镜手术 (VATS) 提供了一种成功和安全的方法,成功率高,复发率低.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
背景情况:
- 初级自发性肺胸炎 (PSP) 在儿童中很少见,但需要有效的管理.
- 治疗选择包括保守措施和手术干预.
- 青少年PSP需要对治疗策略和结果进行审查.
研究的目的:
- 审查被诊断患有PSP的患者.
- 描述使用的治疗方法.
- 评估治疗结果并识别缺陷.
主要方法:
- 对90名PSP患者的回顾性档案审查.
- 研究期:2020年6月至2023年12月.
- 排除标准:创伤,二次和新生儿肺胸部.
主要成果:
- 90名患者 (76名男生,14名女生),平均年龄为16.23岁.
- 44个右侧,41个左侧,5个双侧肺胸.
- 最初的治疗:管胸腔切除;36名患者接受了长期/复发病例的VATS.
结论:
- 在长期/复发性PSP中,形切除和胸膜切除的VATS显示>90%的成功率.
- 与胸管插入相比,VATS是有效和安全的,大大降低了复发率.
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