Clinical efficacy and prognostic analysis of several kinds of methods for pneumothorax
10.3969/j.issn.1005-6483.2018.03.014
- VernacularTitle:几种气胸治疗方法的临床疗效及预后分析
- Author:
Kun YANG
1
;
Yong TAO
;
Houpeng CHEN
Author Information
1. 241000,安徽省芜湖市第二人民医院胸外科
- Keywords:
spontaneous pneumothorax;
thoracoscopic;
Neoveil
- From:
Journal of Clinical Surgery
2018;26(3):204-206
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic effect of several treatments on spontaneous pneumothorax. Methods A total of 157 patients with spontaneous pneumothorax were analyzed retrospectively from Dec 2013 to Dec 2016. Among them, 51 cases were in conservative treatment group and 106 cases were in operative group; 58 cases were in video-assisted thoracoscopic surgery (VATS) bullectomy only, 48 cases were in tubular Neoveil materials combined with an automatic stapler in the bullectomy, respectively. To observe the clinical data and curative effect of the related treatment, the postoperative follow-up period ranged from 6 to 42 months. Results The rate of complications was no significant difference between the conservative and operative group. The chest tube removal time 7.05土1. 85(4～14) days vs. 3.49 ±1.19(2～7)days(P=0.000)and the rate of recurrence(9 cases: 17％ vs.5 cases:4.7％ P = 0.021) have significant differences. The chest tube removal time 3.26 ± 1.16(2～7) days vs.3.79±1.16 (2～7) days(P = 0.085) and the postoperative complications (4 cases and 2 cases, P = 0.286) have no significant difference between VATS bullectomy group and Tuber Neoveil bullectomy group. The postoperative hospital stay time was shorter than that in VATS bullectomy 5.97 ±1.9(4～16)days vs.6.71 ±1.91 (5～15)days(P=0.022). However the postoperative recurrence rate was significantly lower than that in Neoveil group(0 case)(P=0.041). Conclusion These results suggest that the use of Tuber Neoveil may be effective for the prevention of postoperative recurrence of spontaneous pneumothorax.
