...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Annals of Thoracic Surgery: Official Journal of the Society of Thoracic Surgeons and the Southern Thoracic Surgical Association >Videothoracoscopy Versus Thoracotomy for the?Treatment of Spontaneous Pneumothorax: A?Propensity Score Analysis
【24h】

Videothoracoscopy Versus Thoracotomy for the?Treatment of Spontaneous Pneumothorax: A?Propensity Score Analysis

机译：电视胸腔镜与开胸手术治疗自发性气胸的倾向性分析

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Data CollectionPatientsSurgical TechniqueStatistical AnalysisVariables Used for PS AnalysisResultsPatient CharacteristicsDescription of the ProceduresPS Estimation and ApplicationOutcomeCommentSP ManagementRecurrence RateProlonged Air Leaks and Hospital StayPostoperative Pulmonary ComplicationsReferencesFew randomized controlled trials have been published on outcomes after treatment of spontaneous pneumothorax. The objective of this study was to assess recurrence, pulmonary complications, prolonged air leak, and hospital duration of stay in patients undergoing videothoracoscopic surgery (VATS) or thoracotomy for spontaneous pneumothorax.MethodsFrom January 2005 to December 2012, 7,396 patients underwent operations for spontaneous pneumothorax and were entered into the French national database. The propensity score, which is the conditional probability of assignment to a particular treatment given a vector of observed covariates, was used for the analysis. Three statistical analyses were performed: matching, subclassification, and the inverse probability of treatment weighting. The primary end point was recurrence, defined as a pneumothorax requiring a chest tube or new operation. The secondary end point was pulmonary complications, prolonged air leak, and hospital duration of stay.ResultsVATS was performed in 6,419 patients and thoracotomy in 997 patients. Pleurodesis was performed by abrasion or pleurectomy in 5,873 patients (79%) and by?using a chemical agent in 1,523 patients (21%). The median time to recurrence was 3 months (range, 1 to 76 months). The recurrence rate was higher in the VATS group regardless of the statistical analysis that was used: 2.1 for unmatched samples, 2.5 for matched samples, 2.3 for subclassification, and 1.7 for the inverse probability of treatment weighting. VATS significantly reduced the hospital duration of stay by 1 day but did not significantly reduce pulmonary complications or prolonged air leak.ConclusionsVATS reduced the hospital duration of stay, but the risk of recurrence was higher. This information should be delivered to patients before pneumothorax operations.CTSNet classification:11Spontaneous pneumothorax (SP) remains a significant health problem because of the high recurrence rate during thoracic drainage and conservative treatments [
机译：数据收集患者手术技术统计分析用于PS分析的变量结果患者特征程序描述PS估计和应用结果注释SP管理复发率长期漏气和住院时间术后肺部并发症参考文献很少有关于自发性气胸治疗结果的随机对照试验发表。这项研究的目的是评估自发性气胸接受电视胸腔镜手术（VATS）或开胸手术的患者的复发，肺部并发症，长时间的漏气和住院时间。方法从2005年1月至2012年12月，有7396名患者进行了自发性气胸手术。并输入法国国家数据库。倾向得分是给定观察到的协变量向量的条件下分配给特定治疗的条件概率。进行了三个统计分析：匹配，子分类和治疗加权的逆概率。主要终点是复发，定义为需要胸管或新手术的气胸。次要终点是肺部并发症，长时间的漏气和住院时间。结果VATS行了6,419例，开胸手术了997例。通过磨损或胸膜切除术对5,873例患者（79％）进行了胸膜固定术，对1,523例患者（21％）使用了化学制剂进行了胸膜固定术。复发的中位时间为3个月（范围为1到76个月）。不管使用哪种统计分析，VATS组的复发率均较高：不匹配样本为2.1，匹配样本为2.5，子分类为2.3，治疗加权的逆概率为1.7。 VATS可以显着减少住院天数1天，但不能显着减少肺部并发症或延长漏气时间。结论VATS可以减少住院天数，但复发风险更高。该信息应在气胸手术之前提供给患者。CTSNet分类：11由于胸腔引流和保守治疗的高复发率，自发性气胸（SP）仍然是一个严重的健康问题[

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号