What factors predict recurrence of a spontaneous pneumothorax?
What factors predict recurrence of a spontaneous pneumothorax?
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DOI：
10.1186/1749-8090-7-112
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发表时间：
2012-10-17
影响因子：
1.6
通讯作者：
Tanaka F
中科院分区：
文献类型：
--
作者：
Uramoto H;Shimokawa H;Tanaka F
这项回顾性研究的目的是确定自发性气胸（SP）患者术后复发的危险因素。共有214名患者在五年内接受了研究。在这些患者中，189例（88.3%）和25例（11.7%）分别接受了电视胸腔镜手术（VATS）和开放手术治疗。术后复发35例（16.4%）。分析患者特征、手术细节和围手术期结局的数据。我们比较复发和非复发病例的临床病理特征，并使用logistic回归模型预测术后复发的危险因素。两组患者的年龄、性别、病变部位、部位、同侧SP（ISP）、对侧SP（CSP）差异均无统计学意义。然而，无任何吸烟史、有合并症和有ISP手术史的受试者复发率较高。关于术中因素，在入路、支撑吻合器、覆盖物、外科医生或手术长度方面没有显著差异。与接受基于器械的滤过泡修复术的患者相比，手工缝合的患者的术后复发率更高。围手术期结局无显著差异。Logistic回归模型显示，非吸烟者、合并症患者和既往接受过ISP手术的患者术后复发率较高。我们的结论是，不吸烟史、合并症的存在、既往ISP手术史和手工缝合增加了术后复发的风险。因此，外科医生必须意识到这些风险因素，并更仔细地监测此类患者的复发情况。
The purpose of this retrospective study was to identify the risk factors for postoperative recurrence for the patients with a spontaneous pneumothorax (SP). A total of 214 patients were studied over a period of five years. Of these patients, 189 (88.3%) and 25 (11.7%) underwent video assisted thoracoscopic surgery (VATS) and an open approach for treatment, respectively. There were 35 (16.4%) postoperative recurrences. The data on patient characteristics, surgical details, and perioperative outcomes were analyzed. We compared the clinicopathological characteristics between recurrent and non-recurrent cases, and used logistic regression models to predict the risk factors for postoperative recurrence. The differences in the age, gender, lesion site, location, ipsilateral SP (ISP), and contralateral SP (CSP) did not reach statistical significance between the two groups. However, the incidence of recurrence was higher in the subjects without any smoking history, and who had comorbidities, and a history of surgery for ISP. Concerning intraoperative factors, there were no significant differences with regard to the approach, buttress stapling, covering, surgeon, or length of the operation. The postoperative recurrence rate was higher in the patients who had been hand-stitched compared to those who had undergone instrument-based repair for blebs. There were no significant differences in the perioperative outcomes. The logistic regression models indicated that non smokers, those with comorbidities, and those who had previously undergone surgery for ISP had a higher rate of postoperative recurrence. We conclude that a history of no smoking, the existence of comorbidities, previous surgery for ISP, and hand stitching increase the risk of postoperative recurrence. Therefore, surgeons must be aware of these risk factors, and more carefully monitor such patients for recurrence.
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影响因子：
3.2
作者：
Ayed, Adel K.;Bazerbashi, Samer;Al-Othman, Mohammed
通讯作者：
Al-Othman, Mohammed
影响因子：
9.6
作者：
BENSE, L;LEWANDER, R;WIMAN, LG
通讯作者：
WIMAN, LG
影响因子：
4.6
作者：
TAKENO, Y
通讯作者：
TAKENO, Y
影响因子：
3.5
作者：
Oka, Soichi;Uramoto, Hidetaka;Hanagiri, Takeshi
通讯作者：
Hanagiri, Takeshi
DOI：
10.1016/s0022-5223(94)70415-5
发表时间：
1994-06-01
影响因子：
6
作者：
INDERBITZI, RGC;LEISER, A;ALTHAUS, U
通讯作者：
ALTHAUS, U