对于先天性肺形的可选胸腔镜手术:在什么年龄进行手术?
Yuqing Zhao1, Dan Liu1, Yanan Wang1
1Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
European journal of pediatrics
|January 30, 2025
概括
对于先天性肺形 (CLMs) 的胸腔镜手术在所有年龄段都是安全的. 在4岁之前进行手术可能会导致更好的结果,由于手术粘附减少,并发症更少.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
背景情况:
- 先天性肺形 (CLMs) 是一组多样化的发育异常.
- 症状性CLM通常需要手术干预.
- 手术管理的最佳时间仍然是研究的主题.
研究的目的:
- 评估从婴儿期到成年期的患者中CLM的特征.
- 为了确定患有CLM的患者胸腔镜手术的最佳时间.
主要方法:
- 对173名经过胸腔镜手术的CLM患者 (2017-2023) 的回顾性审查.
- 患者被分为五个年龄组:1-6个月,6-12个月,1-4年,4-16年和>16岁.
- 跨年龄组的临床特征和手术结果的比较.
主要成果:
- 在1-4岁的年龄组 (86.5分钟) 观察到最短的手术时间.
- 年龄大于4岁和先前感染与增加的手术粘附有关 (分别为OR:8.70和3.75).
- 增加粘附与较高的重大并发症风险和转换到开放胸切除术相关.
结论:
- 对CLM的胸腔镜手术是安全的,在所有年龄段都是可行的.
- 在4岁之前进行手术可能会预测更顺的结果,粘附和并发症更少.
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