在对良性中央气道阻塞进行内镜治疗后,以患者为中心的结果
Mads Bøgh1, Dalia Gustaityté Larsen1, Matilde Lonka1
1Otorhinolaryngology, Head and Neck Surgery, Aarhus University Hospital, Aarhus, Denmark.
对良性中央气道阻塞的内镜治疗是安全有效的,提供了很好的结果,并发症很少. 这种方法改善了成年患者活着和出院的几天.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 胸部外科手术 胸部外科手术
背景情况:
- 良性中央气道阻塞在患者管理中带来了重大挑战.
- 内镜干预为手术管理提供了一个不那么侵入性的替代方案.
- 评估以患者为中心的结果对于评估治疗疗效至关重要.
研究的目的:
- 为了评估中央气道狭窄的内镜治疗的以患者为中心的结果.
- 以生存和出院日数 (DAOH),再干预率和并发症来分析结果.
- 为了将结果与疾病病因学和治疗方法相关联.
主要方法:
- 对82名成年患者进行良性中央气道阻塞内镜治疗的回顾性分析 (2012-2022年).
- 数据收集包括扩张,瘤切除和支架插入,随访至少一年.
- 统计分析确定了DAOH,再干预和并发症的预测因素,使用Clavien-Dindo分类进行分级.
主要成果:
- 每次手术的整体并发症率为11.7%,与更高的年龄,BMI和并发症相关.
- 手术前呼吸不全或呼吸支患者以及接受支架的患者需要更多的干预.
- 第一年的平均DAOH为343天,气管支气管马病,严重狭窄症和支架插入病例的比例较低.
结论:
- 内镜治疗是成年人良性中央气道阻塞的安全有效选择.
- 该程序显示了高的整体结果与可管理的并发症概况.
- 进一步的研究可以根据病因和患者因素完善治疗策略.
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