国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2012年
9期
597-599
,共3页
杨鹏%李庆志%周笑%郭德庆%马宪友%祝沪军
楊鵬%李慶誌%週笑%郭德慶%馬憲友%祝滬軍
양붕%리경지%주소%곽덕경%마헌우%축호군
气胸%复发%胸腔镜检查
氣胸%複髮%胸腔鏡檢查
기흉%복발%흉강경검사
Pneumothorax%Recurrence%Thoracoscopy
目的 探讨影响原发性自发性气胸对侧复发的相关因素,为防止原发性自发性气胸对侧复发提供依据.方法 回顾分析2006年1月-2011年12月收治的203例原发性自发性气胸患者的临床资料和随访结果,全组患者中位随访43个月. 结果 203例原发性自发性气胸患者共发生气胸241次,其中有27例发生对侧复发,对侧复发的平均时间为20、19个月.原发性自发性气胸对侧复发组与未对侧复发组相比较,患者具有年龄小(P<0.05)、低体重(P<0.05)和低体重指数(P<0.01)的临床特征:所有原发性自发性气胸对侧复发的患者均行手术治疗,术中均可见肺大疱.3例患者出现双侧气胸,行同期双侧电视胸腔镜手术.结论 原发性自发性气胸对侧复发多发生于低体重和低体质指数的年轻患者,对于此类患者术前可先行肺部高分辨率CT检查,如发现对侧肺存在肺大疱,可以考虑同期行双侧电视胸腔镜手术来防止原发性自发性气胸对侧复发.
目的 探討影響原髮性自髮性氣胸對側複髮的相關因素,為防止原髮性自髮性氣胸對側複髮提供依據.方法 迴顧分析2006年1月-2011年12月收治的203例原髮性自髮性氣胸患者的臨床資料和隨訪結果,全組患者中位隨訪43箇月. 結果 203例原髮性自髮性氣胸患者共髮生氣胸241次,其中有27例髮生對側複髮,對側複髮的平均時間為20、19箇月.原髮性自髮性氣胸對側複髮組與未對側複髮組相比較,患者具有年齡小(P<0.05)、低體重(P<0.05)和低體重指數(P<0.01)的臨床特徵:所有原髮性自髮性氣胸對側複髮的患者均行手術治療,術中均可見肺大皰.3例患者齣現雙側氣胸,行同期雙側電視胸腔鏡手術.結論 原髮性自髮性氣胸對側複髮多髮生于低體重和低體質指數的年輕患者,對于此類患者術前可先行肺部高分辨率CT檢查,如髮現對側肺存在肺大皰,可以攷慮同期行雙側電視胸腔鏡手術來防止原髮性自髮性氣胸對側複髮.
목적 탐토영향원발성자발성기흉대측복발적상관인소,위방지원발성자발성기흉대측복발제공의거.방법 회고분석2006년1월-2011년12월수치적203례원발성자발성기흉환자적림상자료화수방결과,전조환자중위수방43개월. 결과 203례원발성자발성기흉환자공발생기흉241차,기중유27례발생대측복발,대측복발적평균시간위20、19개월.원발성자발성기흉대측복발조여미대측복발조상비교,환자구유년령소(P<0.05)、저체중(P<0.05)화저체중지수(P<0.01)적림상특정:소유원발성자발성기흉대측복발적환자균행수술치료,술중균가견폐대포.3례환자출현쌍측기흉,행동기쌍측전시흉강경수술.결론 원발성자발성기흉대측복발다발생우저체중화저체질지수적년경환자,대우차류환자술전가선행폐부고분변솔CT검사,여발현대측폐존재폐대포,가이고필동기행쌍측전시흉강경수술래방지원발성자발성기흉대측복발.
Objective To investigate the factors associated with contralateral recurrence of primary spontaneous pneumothorax And prosvide referencee for how to prevent primary spontaneous Pneumothrorax with Contralateral recurrence.Methods From January 2006 to December 2011,the clinical follow-up data of 203 patients with primary spontaneous pneumothorax were reviewed.The median follow-up time was 43 months.Results Two hundred and three patients developed 241 recurrences,among which 27 patients had contralateral recurrences.The average time of contralateral recurrence was 20.19 months.Patients with contralateral recurrence of primary spontaneous pneumothorax had smaller age(P < 0.05),lower body weight (P < 0.05) and lower body mass index (P <0.01).All patients with contralateral recurrence of primary spontaneous pneumothorax received surgical treatment and were found bullae during surgery.Three patients had unilateral recurrences of pneumothorax during follow up,with single-stage bilateral video-assisted thoracoscopic surgery for bilateral primary spontaneous pneumothorax.Conclusions Contralateral recurrence of primary spontaneous pneumothorax is more common in patients with small age,low body weight and low body mass index.These patients could perform high-resolution computerized tomographic scan of the lung before surgery.Single-stage bilateral video-assisted thoracoscopic surgery may be considered for these patients with contralateral bullae on high-resolution computerized tomographic scan of the lung to prevent contralateral recurrence of primary spontaneous pneumuothorax.