无症状胸腺囊肿手术治疗时机分析  

Analysis of the timing of surgical treatment of asymptomatic thymic cyst

作　　者：黄浩[1] 张诚[1] 吴庆琛[1] HUANG Hao;ZHANG Cheng;WU Qingchen(Department of Cardiothoracic Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,China)

机构地区：[1]重庆医科大学附属第一医院胸心外科,重庆400042

出　　处：《检验医学与临床》2022年第10期1334-1336,共3页Laboratory Medicine and Clinic

基　　金：重庆市科卫联合医学科研项目(2020MSXM131)。

摘　　要：目的探讨无症状胸腺囊肿手术干预时机,为临床手术治疗提供依据。方法回顾性分析该院2002年1月至2020年12月收治的105例胸腺囊肿手术患者的临床资料,根据有无临床症状将105例患者分为有症状组(50例)和无症状组(55例),分别比较两组患者年龄、性别、囊肿最大平面内径、平扫CT值、增强CT值、囊肿密度、手术时间、术中出血、术后住院时间的差异,对单因素分析有统计学意义的变量,再进行多因素Logistic回归分析。结果两组患者在囊肿大小、平扫CT值及囊肿密度上差异有统计学意义(P<0.05),在年龄、性别、增强CT值、手术时间、术中出血量、术后住院时间上差异无统计学意义(P>0.05)。多因素Logistic回归分析结果显示,囊肿最大平面内径大、囊肿平扫CT值高是胸腺囊肿出现临床症状的独立危险因素。结论囊肿最大平面内径大、囊肿平扫CT值高是胸腺囊肿出现临床症状的影响因素。对于无症状胸腺囊肿患者,囊肿最大平面内径>4 cm、囊肿平扫CT值>20 HU可作为手术指征的参考标准。Objective To investigate the timing of surgical intervention for asymptomatic thymic cyst,and to provide basis for clinical surgical treatment.Methods The clinical data of 105 patients with thymic cysts who were treated in our hospital from January 2002 to December 2020 were retrospectively analyzed.According to the presence or absence of clinical symptoms,105 cases were divided into symptomatic group(50 cases) and asymptomatic group(55 cases).Differences in age,gender,the maximum inner diameter of the cyst,plain CT value,enhanced CT value,cyst CT density,operation time,intraoperative bleeding,and postoperative hospital stay were compared between the two groups.Multivariate Logistic regression analysis was performed for variables with statistical significance in univariate analysis.Results There were significant differences in the maximum inner diameter of the cyst,plain scan CT value and cyst density between the two groups(P<0.05),but there was no statistical difference in age,gender,enhanced CT value,operation time,intraoperative bleeding,and postoperative hospitalization time(P>0.05).Multivariate Logistic regression analysis showed that the maximum inner diameter of the cyst and high plain scan CT value were independent risk factors for clinical symptoms of thymic cyst.Conclusion The maximum inner diameter of the cyst and high plain scan CT value of cysts were the influencing factors for clinical symptoms of thymic cysts.For patients with asymptomatic thymic cysts,the maximum inner diameter of the cyst is greater than 4 cm and the CT value of the cyst is greater than 20 HU could be used as reference standards for surgical indications.

关 键 词：胸腺囊肿 无症状 手术时机 计算机断层扫描 手术指征 

分 类 号：R655.7[医药卫生—外科学]