在胸腔镜肺部切除术后使用聚合物凝矩阵进行空气泄漏管理:单中心前性随机试验,具有成本效益分析
Samuele Nicotra1, Giovanni M Comacchio2, Marco Mammana2
1Department of Cardiac, Thoracic, Vascular Sciences and Public Health - DSCTV, Thoracic Surgery Unit, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy. samuele.nicotra@aopd.veneto.it.
Updates in surgery
|June 21, 2025
概括
聚合物水凝矩阵 (PHM) 显著减少空气泄漏,胸管,并在胸腔镜肺部切除后住院. 这种方法具有成本效益,有可能提高外科手术能力.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术创新 在外科创新.
- 肺部医学 肺部医学
背景情况:
- 在胸腔镜肺切除后,膜气漏是常见的,导致发病率增加和住院.
- 聚合物水凝矩阵 (PHM) 已证明在降低空气泄漏和胸腔切除术后胸管持续时间方面具有有效性.
研究的目的:
- 为了评估PHM对空气泄漏,胸腔排气时间和胸腔镜细分切除术后住院时间的影响.
- 评估PHM在这个患者群体中的成本效益.
主要方法:
- 一项随机试验,比较PHM应用与标准护理 (SC) 在胸腔镜肺部切除术期间中度手术时膜气漏的患者中.
- 在PHM和SC组之间对手术材料的成本效益分析.
主要成果:
- 60名患者被随机分配;在基线特征或并发症中没有发现显著差异.
- 在PHM组,空气泄漏 (p=0.01),胸部排水停留 (p=0.01) 和住院停留 (p=0.01) 的时间显著缩短.
- 虽然PHM增加了初始程序成本 (p=0.02),但提前释放抵消了这些费用.
结论:
- 在有中度空气泄漏的胸腔镜肺部切除术中PHM的应用有效地减少了手术后的空气泄漏,胸管的持续时间和住院时间.
- 成本效益分析表明,PHM有可能扩大外科手术能力.
相关概念视频
Pneumothorax-I
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...


