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在ETS之后的补偿性过症:时间演变和预测因素

Erhan Ozer1, Basak Gorusun2, Teoman Ekim3

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补偿性透症在内镜胸腔交感切除术 (ETS) 后用于手掌透症发生早期,可能会自发改善. 有限的,单级的同情切除术,最好是R4,可以降低这种并发症的风险.

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科学领域:

  • 胸部外科手术 胸部外科手术
  • 神经外科 神经外科
  • 皮肤病学 皮肤病学

背景情况:

  • 补偿性过是手掌过的内镜胸腔交切除术 (ETS) 的主要并发症.
  • 补偿性超的时间过程和长期预测因素尚不清楚.

研究的目的:

  • 调查ETS后补偿性过症的时间演变.
  • 为了确定补偿性过症,复发和患者满意度的预测因子,在手掌过症的ETS之后.

主要方法:

  • 这是一项多中心的回顾性研究,对226名接受双边剪贴式ETS的患者进行了多中心的回顾性研究.
  • 患者按手术水平分层 (R3,R4,R2-R4,不对称).
  • 补偿性过症的严重程度在6个月,12个月和长期随访 (平均98个月) 后被评估;用于分析的逻辑回归.

主要成果:

  • 在84.5%的患者中实现了完全的手掌干燥.
  • 补偿性过发生在48.7%,仅在手术后6个月内发生,其中28.2%显示自发回归.
  • 多级R2-R4共感切除预测了更高的补偿性过风险 (OR=2.18);单级R4与较低的负担有关. 复发,而不是补偿性过,导致了不满.

结论:

  • 补偿性过症在ETS后的早期出现,并且可以自发地部分消失.
  • 多级交感切除术增加了补偿性过症的风险,但没有提高疗效;建议偏好有限的单级 (R4) 方法.
  • 手术水平的选择,戒烟和患者咨询对于管理ETS后的结果至关重要.