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息内镜治疗恶性中央气道阻塞
Mads Bøgh1, Sebastian Heinonen1, Dalia Gustaityté Larsen1
1Otorhinolaryngology, Head and Neck Surgery, Aarhus University Hospital, Aarhus, Denmark.
BMC pulmonary medicine
|December 29, 2024
概括
对恶性气道阻塞的缓解性内镜治疗可以缓解症状,并且是安全的. 确定了生存和出院的预测因素,指导患者管理.
科学领域:
- 干预性肺病学 干预性肺病学
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 恶性中央气道阻塞 (CAO) 显著影响患者的生活质量.
- 息性内镜干预旨在缓解症状并改善晚期癌症的结果.
研究的目的:
- 评估息性内镜治疗恶性CAO的有效性.
- 为了确定活着和出院日 (DAOH),生存和并发症的预测因素.
主要方法:
- 对127名成年患者进行了回顾性分析,这些患者在2012-2022年期间接受了对恶性CAO的内镜治疗.
- 统计分析以确定DAOH,生存和并发症的预测因素.
主要成果:
- 在127名患者 (平均年龄67岁,大多数为第四阶段肺癌) 进行了内镜干预,包括除和支架.
- 89.8%的患者获得了症状缓解,92.1%的患者在两天内出院.
- 并发症率为21.0%,死亡率为3.9%. 平均存活时间为144天;较差DAOH的预测因素包括高ASA得分,呼吸支持,紧急干预,女性性别和支架.
结论:
- 对恶性CAO的内镜息治疗是可行的和安全的.
- 它有效地提供症状缓解和缓解短期到中期的呼吸困扰.
- 对DAOH和生存的预测因素可以为治疗决策和患者咨询提供信息.
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