视频辅助胸腔镜手术中术后肺部并发症的辅助预测标志物 - - 隔膜外游差异作为辅助预测标志物:一项前性观察性研究
Ruixue Yuan1, Wanling Xiong1, Wei Ran1
1Department of Anesthesiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Journal of thoracic disease
|March 14, 2025
概括
视频辅助胸腔镜手术 (VATS) 后的下部术后隔膜外围差异 (DED) 可以预测肺部并发症. 这种超声波测量为评估VATS程序后患者风险提供了有价值的工具.
科学领域:
- 医疗成像医学成像
- 肺部病理学 肺部病理学
- 手术并发症 手术并发症
背景情况:
- 视频辅助胸腔镜手术 (VATS) 与术后肺部并发症 (PPCs) 的显著发生率有关.
- 隔膜超声波是评估隔膜功能的一种非侵入性方法.
- 隔膜外流差 (DED) 显示出作为临床结果的预测标记物的潜力.
研究的目的:
- 评估DED在接受VATS的患者中对PPC的预测能力.
- 建立DED作为一种可行的工具,用于VATS患者的风险分层.
主要方法:
- 对151名接受VATS治疗的患者进行前性观察性研究.
- 隔膜超声波在麻醉前和输出后进行,以测量在安静和深呼吸期间隔膜外流 (DE).
- 在两个时间点计算DED和隔膜外流分数 (DEF).
主要成果:
- 32名患者 (21%) 发生了PPC.
- 在患有PPC的患者中观察到较低的术后DED (0.94±0.44对1.94±0.91,P<0.001) 和较高的DEF (0.59±0.13对0.44±0.12,P<0.001).
- 手术后的DED显示出高灵敏度 (90.6%) 和AUC为0.860,用于预测PPCs.
结论:
- 下部术后DED是预测VATS后肺部并发症的潜在额外标志物.
- 隔膜超声波和DED测量可以帮助识别患有PPC风险较高的患者.
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