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先天性肺形:手术前的症状是否会影响手术结果?
María López-Díaz1, Ester Fernández Díez1, Indalecio Cano Novillo1
1Servicio de Cirugía Pediátrica, Hospital U. 12 de Octubre, Departamento de Salud Pública y Materno-Infantil, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain.
有症状的先天性肺形 (CLMs) 在微创手术 (MIS) 后没有更多的并发症. 较大的CLM与症状有关,这表明早期手术干预可能有利于这些患者.
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:
- 由于其频繁无症状的呈现,先天性肺形 (CLMs) 的管理仍然存在争议.
- 最少侵入性手术 (MIS) 越来越多地用于CLM治疗.
研究的目的:
- 为了研究手术前症状和手术结果之间的关系,在患有CLM的患者接受MIS.
- 为了确定与CLM症状呈现相关的因素.
主要方法:
- 在2003年至2023年期间,对116名用MIS治疗的CLM患者进行了回顾性分析.
- 收集的数据包括病变特征,症状,手术细节和术后结果.
- 统计分析以确定变量之间的关联.
主要成果:
- 15.5%的患者出现了显著的症状 (感染性或呼吸困扰).
- 在CT扫描中,较大的CLM大小与症状呈现 (P = .027) 和转换到开放手术的增加有显著的相关性.
- 在症状和无症状组之间,术后并发症发生率没有显著差异.
结论:
- 在CLM的术前症状似乎不会增加MIS后术后并发症的风险.
- 较大的病变大小是症状性CLM的预测因素,支持考虑早期手术切除.
- MIS是CLM管理的可行选择,结果不会受到手术前症状的不利影响.
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