肺瘤的肺体积缩小手术的结果:单边和双边
Rocio Castillo-Larios1, Alejandra Yu Lee-Mateus2, Daniel Hernandez-Rojas2
1Department of General Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.
Journal of thoracic disease
|November 18, 2024
概括
双边肺体积减小手术 (LVRS) 为肺瘤患者提供了更大的功能改善,但与单边LVRS相比,增加了短期风险. 这项研究比较了这两种方法的结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术结果研究研究.
背景情况:
- 肺体积减小手术 (LVRS) 是对肺气的治疗方法.
- 从历史上看,LVRS是双边进行的.
研究的目的:
- 为了比较单边和双边LVRS之间的短期发病率和死亡率.
- 为了评估单边和双边LVRS后的功能结果.
主要方法:
- 对119名接受LVRS治疗肺气的患者进行了回顾性分析.
- 在单边和双边方法之间比较功能性结果 (PFT,6MWT,氧气使用) 和短期发病率.
主要成果:
- 双边LVRS在一氧化碳 (DLCO) 的扩散能力和6分钟步行测试 (6MWT) 中显示出更大的改善.
- 单边LVRS的空气泄漏率显著降低,胸管持续时间缩短,住院时间缩短.
- 单边 (98.4%) 与双边 (90.9%) 的LVRS的一年生存率更高,尽管在统计学上并不显著.
结论:
- 与单边LVRS相比,双边LVRS提供了增强的功能收益.
- 双边LVRS与短期发病率增加和潜在的生存率降低有关.
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