胸腔镜部分肺切除术后肺部并发症的危险因素及对患者远期预后的影响  

Risk Factors of Pulmonary Complications after Thoracoscopic Partial Pulmonary Resection and Their Effect on Long-Term Prognosis of Patients

作　　者：费林晶 邹宓 FEI Linjing;ZOU Mi(Department of General Thoracic Surgery,Liaocheng Maternal and Child Health Hospital,Liaocheng 252000,China;Department of Thoracic Surgery,Liaocheng Maternal and Child Health Hospital,Liaocheng 252000,China)

机构地区：[1]聊城市妇幼保健院普胸外科,山东聊城252000 [2]聊城市妇幼保健院胸外科,山东聊城252000

出　　处：《反射疗法与康复医学》2024年第22期110-113,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的分析胸腔镜部分肺切除术后肺部并发症(PPCs)的危险因素及对患者远期预后的影响。方法选取2021年6月—2023年6月于聊城市妇幼保健院行胸腔镜部分肺切除术的87例患者为研究对象,根据术后并发PPCs的情况分为发生组与未发生组。比较两组患者的年龄、性别等资料,探究影响患者PPCs发生的危险因素。结果87例行胸腔镜部分肺切除术患者中,发生PPCs 13例,未发生74例,PPCs发生率为14.94%。单因素分析显示,两组性别、饮酒史、基础疾病、病理类型、肿瘤部位比较,组间差异无统计学意义(P>0.05);两组年龄、吸烟史、手术时间、白蛋白水平比较,组间差异有统计学意义(P<0.05)。Logistic回归分析显示,年龄>60岁、有吸烟史、手术时间>2 h、白蛋白水平<35 g/L是影响胸腔镜部分肺切除术后患者PPCs发生的高危因素(P<0.05)。发生组术后1年病死率为46.15%,高于未发生组的15.49%,差异有统计学意义(P<0.05)。结论年龄>60岁、有吸烟史、手术时间>2 h、白蛋白水平<35 g/L是影响胸腔镜部分肺切除术后PPCs发生的独立危险因素,且发生PPCs的患者病死率更高,预后更差。Objective To analyze the risk factors of pulmonary complications(PPCs)after thoracoscopic partial pulmonary resection and the influence on the long term prognosis of patients.Methods Eighty-seven patients who underwent thoracoscopic partial pulmonary resection in Liaocheng Maternal and Child Health Hospital from June 2021 to June 2023 were selected as the research objects,and were divided into a occurrence group and a non-occurrence group according to the postoperative complications of PPCs.The age,gender and other data of the two groups were compared to explore the risk factors affecting the occurrence of PPCs.Results Among the 87 patients who underwent thoracoscopic partial pulmonary resection,PPCs occurred in 13 cases and not in 74 cases,and the incidence of PPCs was 14.94%.Univariate analysis showed that there were no significant differences in gender,drinking history,underlying diseases,pathological types and tumor sites between the two groups(P>0.05);there were significant differences in age,smoking history,operation time and albumin level between the two groups(P<0.05).Logistic regression analysis showed that age>60 years old,smoking history,operation time>2 hours,albumin level<35 g/L were high risk factors for the occurrence of PPCs after thoracoscopic partial pulmonary resection(P<0.05).The 1-year mortality rate in the occurrence group was 46.15%,which was higher than 15.49%in the non-occurrence group,and the difference was statistically significant(P<0.05).Conclusion Age>60 years old,smoking history,operation time>2 hours,and albumin level<35 g/L were independent risk factors for PPCs after thoracoscopic partial pulmonary resection,and patients with PPCs had higher mortality and worse prognosis.

关 键 词：胸腔镜部分肺切除术 肺部并发症 危险因素 

分 类 号：R614[医药卫生—麻醉学]