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在子弹切除术中使用领带机和手工之间进行比较研究.

Mohammed M Mostafa1, Hesham H Ahmed2, Amr Ashry1

  • 1Department of Cardiothoracic Surgery, Assiut University Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt.

Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery
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此摘要是机器生成的。

用于自发性肺胸部的切术使用接器,最初成本更高,但可以减少空气泄漏时间和术后费用. 手工是起先更便宜的,但导致更长的空气泄漏和更高的成本.

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科学领域:

  • 胸部外科手术 胸部外科手术
  • 肺部病理学 肺部病理学
  • 手术技术手术技术的使用.

背景情况:

  • 自发性肺胸炎 (SP) 是一种危急的情况,被分类为初级 (PSP) 或二级 (SSP).
  • 外科手术,包括带有多切除术/多切除术的切除术,对于复发性多性脊髓炎,持续性空气泄漏或相反的多性脊髓炎是标准的.

研究的目的:

  • 为了比较两种子弹切除术技术的有效性和成本效益:针辅助与手工制修复.
  • 为了评估操作成本,空气泄漏时间,术后停留时间和重新勘探率.

主要方法:

  • 追溯对60名患者进行胸切除术以进行切除术和胸膜切除术的回顾.
  • 患者被分为两组:A组 (30名患者) 进行了合器修复,B组 (30名患者) 进行了手工合修复.

主要成果:

  • 接器集团 (A) 的运营成本显著更高 (4400 EGP vs. 2733 EGP) (p=0.001).
  • 接器组的空气泄漏时间显著缩短 (1.8天而不是9.1天) (p=0.0001) 和手术后成本降低 (1000 EGP而不是2060 EGP) (p=0.0001).
  • 在各组之间,重新勘探率相似 (3.3%对6.6%) (p=0.5).

结论:

  • 虽然接器子弹切除术会导致更高的初始手术成本,但它会大大减少空气泄漏时间,手术后住院时间和整体手术后费用.
  • 手子切除手术最初成本较低,但与空气泄漏和术后费用相关的较差结果有关.