术后肺部并发症的发病率和风险因素 在内镜骨底部手术中
Nana-Hawwa Abdul-Rahman1, Carl H Snyderman2
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States.
Journal of neurological surgery. Part B, Skull base
|January 8, 2026
概括
手术后的肺部并发症 (PPC) 在内镜内外科手术 (ESS) 后很常见. 针对年龄,输管时间和血液损失等风险因素可以减少PPC发生率.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 麻醉学 麻醉学
背景情况:
- 手术后的肺部并发症 (PPC) 是内镜内外科手术 (ESS) 后的一个重大问题.
- 了解PPC的发生率和预测因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在ESS之后确定PPC的发病率.
- 确定与ESS患者PPC发育相关的风险因素.
主要方法:
- 在2023年1月至5月期间接受ESS的97名患者的回顾性审查.
- 进行了单变量和多变量分析,以评估各种术前,术后和术后变量作为PPC的预测因素.
主要成果:
- PPC的发病率为29%,氧气需求增加和肺炎是最常见的.
- PPC与年龄较大 (≥65岁),更长的手术和输管时间,术后输管,更高的估计血液损失 (EBL) 和更长的住院时间显著相关.
- 没有发现与性别,BMI,胃管使用,ETT大小或手术前肺部疾病史有显著的关联.
结论:
- 在ESS之后,PPCs代表了一个重要的并发症.
- 针对年龄,输入管的持续时间,术后输入管状态和手术内流血的术后干预措施可以减少PPCs.
- 需要进一步研究高风险人群的手术内吸收.
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