Factors related to contralateral recurrence of primary spontaneous Pneumothorax
10.3760/cma.j.issn.1673-4203.2012.09.008
- VernacularTitle:原发性自发性气胸对侧复发的相关因素研究
- Author:
Peng YANG
;
Qingzhi LI
;
Xiao ZHOU
;
Deqing GUO
;
Xianyou MA
;
Hujun ZHU
- Publication Type:Journal Article
- Keywords:
Pneumothorax;
Recurrence;
Thoracoscopy
- From:
International Journal of Surgery
2012;39(9):597-599
- CountryChina
- Language:Chinese
-
Abstract:
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.
