Diagnostic Value of Thoracography in Pneumothorax.
- Author:
Young Sik PARK
1
;
Jae Yeol HAN
;
Ji Won JANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery Ewha Women's University Mokdong Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Pneumothorax;
Thoracography
- MeSH:
Pneumothorax*;
Sensitivity and Specificity;
Thoracic Surgery, Video-Assisted;
Thoracotomy;
Thorax;
Tomography, X-Ray Computed
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(7):730-734
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: It is important to know the location, number, size and shape of bullae before thoracotomy or VATS bullectomy. Chest X-ray and chest CT may be used but with some limitation. The purpose of this study was to compare the diagnostic value of thoracography with that of chest X-ray in preoperative detection of bullae. Meterial and Method: Thoracography was performed by injection of non-ionic water-soluble dye into pleural space in 22 primary spontaneous pneumothoraces, which underwent thoracotomy or VATS bullectomy. Chest X-ray and thoracography were compared through operative finding. RESULTS: Sensitivity and accuracy of thoracography (75% and 72.7%) were higher than those of chest X-ray (30% and 36.4%). However, specificity of thoracography (50%) was lower than that of chest X-ray (100%). There were no complications during or after thoracography. CONCLUSION: Thoracography is a safer and more useful method for preoperative detection of bullae when compared with chest X-ray.
