肺超声波得分与手术后肺部并发症的相关性,在接受胸腔镜叶切除术的老年人中:一项前性观察性研究
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Updated: Jan 14, 2026

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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
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Dongsheng Wang1, Yang Zhang1, Shasha Wang2
1Department of Anesthesiology, The First Affiliated Hospital of Bengbu Medical University, No. 287, Changhuai Road, Bengbu, 233004, Anhui, China.
European journal of medical research
|October 22, 2025
概括
肺部超声波 (LUS) 评分可以预测胸腔镜叶切除术后老年人的术后肺部并发症 (PPC). 30分钟的术后LUS得分有效地识别了患有PPC风险较高的患者.
科学领域:
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
- 医疗成像医学成像
背景情况:
- 手术后的肺部并发症 (PPC) 在接受胸腔镜叶切除术的老年人中是一个重大问题.
- 早期预测PPC对于及时干预和改善患者结果至关重要.
- 肺超声波 (LUS) 评分对预测该群体PPC的有用性仍然不清楚.
研究的目的:
- 评估肺部超声波 (LUS) 应用在术后肺部并发症 (PPC) 的早期预测中的有效性.
- 评估LUS得分与PPC发生率在经过胸腔镜叶切除术的老年人之间的相关性.
主要方法:
- 肺部超声波扫描是在手术前,手术后30分钟和手术后72小时进行的,以获得LUS分数.
- 在术后10天内发生的肺部并发症被记录在案.
- 使用后勤回归和ROC曲线分析来确定PPC的LUS得分的预测准确性.
主要成果:
- 在研究的292名患者中,PPC发生在39.38%的患者中.
- PPC的独立风险因素包括较高的年龄,COPD并发症,较低的手术前血红蛋白,以及更高的术后30分钟LUS得分.
- 术后30分钟LUS得分在预测术后结果方面表现出有效性,AUC为0.811.
结论:
- 术后30分钟的肺超声波得分是经过胸腔镜叶切除术的老年人中PPC的重要危险因素.
- 肺部超声波作为一种有价值的预测工具,用于识别在此过程后患有PPC风险的患者.
- 需要进一步的研究,以充分确定LUS在进行胸腔镜叶切除术的患者管理中的作用.
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