自发性气胸胸腔镜术后复发情况和影响因素分析

Analysis on recurrence and influence factors of spontaneous pneumothorax in patients after thoracoscope surgery

目的分析自发性气胸患者胸腔镜术后复发现状和影响因素。方法选取我院胸外科2009年3月至2011年3月收治的218例自发性气胸胸腔镜术后患者为研究对象,采用自编问卷对自发性气胸患者胸腔镜术后情况进行调查,应用SPSS 19.0统计软件进行描述性统计和二分类Logistic回归分析并找出其复发的影响因素。结果自发性气胸患者胸腔镜术后复发率为5.05%(11/218),多因素Logistic回归分析结果示复发性气胸(OR=2.432,P=0.000)和多发肺大疱(OR=1.918,P=0.000)是自发性气胸电视胸腔镜手术后复发的危险因素。结论自发性气胸胸腔镜术后患者复发率较高,应加强复发性气胸和多发肺大疱患者管理,减少其复发,改善患者的预后。

Objective To investigate the recurrence and influence factors of spontaneous pneumothorax in patients after thoracoscope surgery. Methods From March 2009 to March 2011,218 patients with spontaneous pneumothorax after thoraeoscope surgery in our hospital were surveyed by the self-made general data questionnaire. The clinical data were analyzed by descriptive statistics and binary classification logistic regression analysis of SPSS 19.0 to find out the infection influential factors of spontaneous pneumothorax for patients after thoraco- scope surgery in order to provide reference basis for reducing postoperative recurrence. Results The recurrence rate of spontaneous pneumo- thorax was 5.05% （ 11/218 ）. Multiple logistic regression analysis showed that recurrent pneumothorax （ OR = 2. 432, P = 0. 000 ） and multi- ple pulmonary bulla （ OR = 1. 918, P = 0. 000 ） were the risk factors of spontaneous pneumothorax for patients after thoraeoscope surgery. Conclusion The recurrence rate of spontaneous pneumothorax is high,we should strengthen the management of high-risk population and im- prove the prognosis of patients.