全肺不张型原发性自发性气胸86例分析  

A clinical analysis on 86 cases with complete atelectasis of the lung and primary spontaneous pneumothorax

作　　者：李芝 陈亮 朱全 邵永丰 陈亦江 骆金华 吴延虎 秦建伟 

机构地区：[1]南京医科大学第一附属医院心胸外科,江苏省210029

出　　处：《江苏医药》2013年第21期2546-2548,F0002,共4页Jiangsu Medical Journal

基　　金：江苏高校优势学科建设工程资助项目(JX10231801)

摘　　要：目的探讨全肺不张型原发性自发性气胸(PSP)的自然病程、治疗及预后。方法首次发作的PSP患者353例分为全肺不张型(A组,86例)和部分肺不张型(B组,267例)两组,比较持续性肺漏气发生率、非手术治疗者同侧气胸复发率以及手术患者的术中情况、术后病程及术后复发率。结果 A组持续性肺漏气发生率和同侧气胸复发率显著高于B组(P<0.01),A组总手术治疗率显著高于B组(P<0.01)。两组手术患者的术中情况、术后病程以及复发率差异无统计学意义。结论全肺不张型PSP患者持续性肺漏气以及同侧气胸复发率高,首次发作的全肺不张型PSP不管是否为持续性肺漏气均建议行电视胸腔镜手术治疗。Objective To analyze the natural course and treatment outcomes of complete atelectasis in the patients with primary spontaneous pneumothorax（PSP）. Methods Data of 353 cases with a first episode of PSP were analyzed retrospectively. Patients were devided into two groups of A （complete atelectasis, 86 cases） and B（partial atelectasis, 267 cases）. Surgical intervention was carried out for persistent air leakage or recurrence. The surgery-related data were compared between two groups. Results Compared to group B, the persistent air leakage and ipsilateral recurrence rate were significantly higher in group A（P〈0. 01）. The percentage of needing surgical treatment was higher in group A than that in group B（86 % vs. 37.1 %） （P〈0. 01）. The intraoperative findings, postoperative course and relapse rate were not significantly different between two groups. Conclusion The incidence of persistent air leakage and ipsilateral recurrence is significantly higher in patients with complete atelectasis combined with PSP than that in partial atelectasis patients. Complete atelectasis of the lung in PSP patients should be considered as an indication for surgical intervention at their first PSP episode.

关 键 词：原发性自发性气胸 电视胸腔镜 肺大疱 

分 类 号：R561[医药卫生—呼吸系统]