CAJ | 학술논문

目的：分析自发性气胸患者胸腔镜术后复发现状和影响因素。方法选取我院胸外科2009年3月至2011年3月收治的218例自发性气胸胸腔镜术后患者为研究对象,采用自编问卷对自发性气胸患者胸腔镜术后情况进行调查,应用SPSS 19.0统计软件进行描述性统计和二分类Logistic回归分析并找出其复发的影响因素。结果自发性气胸患者胸腔镜术后复发率为5.05%(11/218),多因素Logistic回归分析结果示复发性气胸(OR=2.432,P=0.000)和多发肺大疱(OR=1.918,P=0.000)是自发性气胸电视胸腔镜手术后复发的危险因素。结论自发性气胸胸腔镜术后患者复发率较高,应加强复发性气胸和多发肺大疱患者管理,减少其复发,改善患者的预后。
목적：분석자발성기흉환자흉강경술후복발현상화영향인소。방법선취아원흉외과2009년3월지2011년3월수치적218례자발성기흉흉강경술후환자위연구대상,채용자편문권대자발성기흉환자흉강경술후정황진행조사,응용SPSS 19.0통계연건진행묘술성통계화이분류Logistic회귀분석병조출기복발적영향인소。결과자발성기흉환자흉강경술후복발솔위5.05%(11/218),다인소Logistic회귀분석결과시복발성기흉(OR=2.432,P=0.000)화다발폐대포(OR=1.918,P=0.000)시자발성기흉전시흉강경수술후복발적위험인소。결론자발성기흉흉강경술후환자복발솔교고,응가강복발성기흉화다발폐대포환자관리,감소기복발,개선환자적예후。
Objective To investigate the recurrence and influence factors of spontaneous pneumothorax in patients after thoracoscope surgery. Methods From March 2009 to March 2011,218 patients with spontaneous pneumothorax after thoracoscope surgery in our hospital were surveyed by the self-made general data questionnaire. The clinical data were analyzed by descriptive statistics and binary classification logistic regression analysis of SPSS 19. 0 to find out the infection influential factors of spontaneous pneumothorax for patients after thoraco-scope surgery in order to provide reference basis for reducing postoperative recurrence. Results The recurrence rate of spontaneous pneumo-thorax was 5. 05%(11/218). Multiple logistic regression analysis showed that recurrent pneumothorax ( OR=2. 432,P=0. 000) and multi-ple pulmonary bulla (OR=1. 918,P=0. 000) were the risk factors of spontaneous pneumothorax for patients after thoracoscope surgery. Conclusion The recurrence rate of spontaneous pneumothorax is high,we should strengthen the management of high-risk population and im-prove the prognosis of patients.