对于患有恶性瘤的pleurX排水患者的生存安全性和预后因素:AscitX研究
Aurélien Proux1, Yanis Dahel2, Alexandre de Nonneville3
1Department of Supportive and Palliative Care, Institut Paoli-Camettes, Aix-Marseille Univ, CNRS, INSERM, Marseille, France.
使用AscitX导管在家治疗恶性炎 (MA) 对癌症患者来说是安全的. 门性高血压和不使用利尿剂与MA患者的更好的结果有关.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗器械 医疗器械
背景情况:
- 恶性炎 (MA) 影响10%的炎病例,预后不佳.
- AscitX导管 (以前称为PleurX) 便于在息治疗中在家治疗MA.
- 关于AscitX使用及其对患者结果的影响的现实数据有限.
研究的目的:
- 为了分析真实世界的数据AscitX导管在癌症患者的使用MA.
- 描述与AscitX导管插入相关的并发症.
- 确定影响患者生存和结果的因素.
主要方法:
- 对56名AcitX导管插入患者的回顾性分析 (2018年10月至2022年10月).
- 计算机断层扫描 (CT) 扫描检查肝脏/腹膜转移和门门高血压.
- 用于评估生存结果的卡普兰-梅尔分析.
主要成果:
- 胰腺 (39%) 和卵巢 (18%) 癌症是最常见的.
- 插入后发生了四种严重和两种中度感染.
- 在AscitX插入后,中位生存时间为18天.
- CT诊断的门高血压和缺少尿剂治疗与更好的预后相关.
- 41%的患者在家中死亡.
结论:
- AscitX导管证明了在息治疗中MA管理的可接受安全性.
- 使用AscitX进行家庭治疗,使得很大一部分患者能够在家中死亡.
- CT诊断的门性高血压是MA患者治疗AscitX的积极预后指标.
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