关键词: Pleurodesis pneumothorax surgery thoracic thoracic surgeries video-assisted

来  源:   DOI:10.4103/abr.abr_198_22   PDF(Pubmed)

Abstract:
UNASSIGNED: Spontaneous pneumothorax is a potentially fatal condition with a high risk of recurrence. The purpose of this study is to compare two different approaches to SP management. In the first group, patients underwent only chemical pleurodesis; in the second group, CT-scan, VATS, and then chemical pleurodesis was performed.
UNASSIGNED: This study is a non-randomized clinical trial conducted on 65 patients admitted to Al-Zahra Hospital in Isfahan with a primary complaint of sudden dyspnea and a definitive diagnosis of spontaneous pneumothorax. Two studies compared the main outcomes of recurrence within six months and the time until recurrence.
UNASSIGNED: Age, sex, and BMI were matched between the two study groups. The side of the pneumothorax, smoking history, and pulmonary disease history did not differ significantly (P > 0.05). Pneumothorax recurrence did not differ significantly between the two groups (P: 0.477).
UNASSIGNED: This study demonstrated no distinction between VATS and chemical pleurodesis when using only chemical pleurodesis. However, because numerous studies have suggested that one of these techniques may be beneficial for patients with SP, it is recommended to conduct additional randomized controlled trials (RCTs) with a more detailed plan and more comparable procedures, although it appears that meta-analysis design may be effective given the abundance of available RCT studies.
摘要:
自发性气胸是一种潜在的致命疾病,具有很高的复发风险。本研究的目的是比较两种不同的SP管理方法。在第一组中,患者仅接受化学胸膜固定术;在第二组中,CT扫描,VATS,然后进行化学胸膜固定术。
这项研究是一项非随机临床试验,对伊斯法罕Al-Zahra医院收治的65名患者进行,主要主诉为突发性呼吸困难,明确诊断为自发性气胸。两项研究比较了六个月内复发的主要结果和直到复发的时间。
年龄,性别,和BMI在两个研究组之间进行匹配。气胸的侧面,吸烟史,与肺部疾病史无显著差异(P>0.05)。两组间气胸复发差异无统计学意义(P:0.477)。
这项研究表明,当仅使用化学胸膜固定术时,VATS和化学胸膜固定术之间没有区别。然而,因为许多研究表明,这些技术之一可能对SP患者有益,建议进行更多的随机对照试验(RCTs),有更详细的计划和更多类似的程序,尽管考虑到现有的大量RCT研究,荟萃分析设计似乎可能是有效的。
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