Retrospective study on rick factors of postoperative recurrence of primary spontaneous pneumothorax in 1128 patients at a single center
10.11958/20170010
- VernacularTitle:单中心1128例原发自发性气胸术后复发危险因素分析
- Author:
Zhenliang SHI
;
Xun ZHANG
;
Yuechuan LI
- Keywords:
pneumothorax;
recurrence;
pleurodesis;
drainage;
Logistic models;
risk factors;
lung bullae
- From:
Tianjin Medical Journal
2017;45(4):381-384
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze rick factors for postoperative recurrence of spontaneous pneumothorax surgery. Methods The clinic characteristics of 1128 patients who received spontaneous pneumothorax surgery in Tianjin Chest Hospital were collected from January 2009 to March 2015. The relationship between clinic characteristics and the pulmonary bullae was analyzed. Logistic regression analysis was used to assess factors affecting the postoperative relapse of spontaneous pneumothorax. Results The pulmonary bullae were found in 877 patients of 1128 during the operation. The incidence of pulmonary bullae was significantly high in patients with age below 25 years compared with patients over 25 years (P<0.05). The duration of surgery was significantly longer in patients with pulmonary bullae compared with that of patients without pulmonary bullae (P<0.05). Postoperative recurrence occurred in 21 cases, with a recurrence rate of 1.86%. Logistic regression analysis showed that pulmonary bullae, pleurodesis without pleura friction, delayed drainage duration (> 3 d) were independent risk factors of postoperative recurrence for spontaneous pneumothorax (P<0.05). Conclusion Pulmonary bullae, pleurodesis without pleura friction and delayed drainage duration are risk factors of postoperative recurrence for spontaneous pneumothorax, which should be paid more attention in clinic.
