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Surgery versus non-surgical treatment for bronchiectasis

Removal of affected parts of the lung is often carried out in patients with bronchiectasis. A review was performed with the aim of identifying evidence for the benefit of surgery in bronchiectasis. No randomised controlled trials were identified so it is not possible to provide an unbiased estimate of the benefit of surgery for patients with bronchiectasis.

研究背景

Standard treatment for bronchiectasis comprises postural drainage and various regimes of antibiotic therapy. If the disease is confined to localised areas of lung, surgical resection of the affected segments is often performed.

研究目的

To assess the benefit of surgical resection compared with standard ("conservative") treatment.

检索策略

The Cochrane Airways Group Specialised Register of trials was searched up to May 2011.

纳入排除标准

Only randomised, controlled trials were considered

资料收集与分析

The titles, abstracts and citations were independently reviewed by the two reviewers to assess potential relevance for full review.

主要结果

No randomised or controlled clinical trials were found, other than case series or case-controlled studies. Subsequent update searches have failed to identify any trials.

作者结论

Surgical treatment of bronchiectasis is widely used, but there appear to be no randomised controlled trials. It is not possible to provide an unbiased estimate of its benefit compared to conservative therapy .

引用文献
Warburton CJ, Corless JA. Surgery versus non-surgical treatment for bronchiectasis. Cochrane Database of Systematic Reviews 2000, Issue 4. Art. No.: CD002180. DOI: 10.1002/14651858.CD002180.

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