心脏和肺部疾病同时存在的患者手术的结果:一项回顾性研究
Yibo Yin1, Chaoyang Tong2, Hongwei Zhu1
1Department of Anesthesiology, Shanghai Chest Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
The Journal of surgical research
|February 22, 2025
概括
对于患有肺癌和心脏病的患者来说,分阶段的手术与同时进行的手术相比,术后并发症较少. 需要进一步的研究来证实这些发现的外科治疗结果.
科学领域:
- 心胸外科手术 心胸外科手术
- 手术瘤学手术瘤学
- 心脏病学 心脏病学
背景情况:
- 对于同时患有肺癌和心脏病的患者,最佳的手术策略尚不清楚.
- 与同时或分阶段手术相关的不良结果需要调查.
研究的目的:
- 在患有肺癌和心脏病的患者中,比较同步和分阶段手术的外科和瘤结果.
- 确定手术时间对患者康复和癌症进展的影响.
主要方法:
- 对接受心脏和胸部手术的158名患者 (2016-2021) 的回顾性分析.
- 患者被分为同时或分阶段手术组.
- 1:1倾向得分匹配和卡普兰-梅尔分析用于结果比较.
主要成果:
- 同时和分阶段手术组之间整体存活率或无进展存活率没有显著差异.
- 同时手术组的肺部感染率较高 (18.0%对3.7%).
- 与分期手术相比,同时进行的手术需要更长的手术时间,增加的血液损失和更长的住院时间.
结论:
- 阶段性手术对于同时患有肺癌和心脏病的患者,在术后并发症方面具有优势.
- 需要进一步的研究来验证阶段性手术方法在这个患者群体中的好处.
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