胸腔镜治疗自发性气胸患者肺部并发症的相关因素分析

Analysis of related factors of pulmonary complications in patients with spontaneous pneumothorax treated by thoracoscopy

目的分析胸腔镜治疗自发性气胸患者发生肺部并发症的相关危险因素,为临床早期预防措施的实施提供指导。方法选取2012年2月-2015年2月于我院采用胸腔镜手术治疗476例自发性气胸患者作为本次研究的对象,依据患者术后有无发生肺部并发症分为并发症组与无并发症组,收集并观察患者的年龄、性别、发病部位、手术时间等临床资料与指标,分析与术后肺部并发症发生可能存在联系的危险因素。结果单因素分析结果显示,患者的年龄、吸烟、合并肺部疾病、胸膜黏连情况以及肺大疱数目与术后肺部并发症的发生具有相关性(P<0.05)。多因素分析结果显示,年龄、合并肺部疾病、胸膜黏连和多发肺大疱是术后肺部并发症发生的独立危险因素(P<0.05)。结论年龄、吸烟、合并肺部疾病、胸膜黏连情况以及肺大疱数目是胸腔镜治疗自发性气胸后发生肺部并发症的相关因素,其中年龄、合并肺部疾病、胸膜黏连和多发肺大疱是肺部并发症发生的独立危险因素。

Objective To analyze the related risk factors of pulmonary complications in patients with sponta-neous pneumotliorax treated by thoracoscopy,and to provide guidance for tlie implementation of tion measures. Methods From February 2012 to February 2015 in our hospital,476 patients with spontaneouspneumothorax treated by video-assisted thoracoscopic surgery were selected as the researchor without pulmonary complications,they were divided into the complication group and the non complication group.Their age,gender,location,operative time and clinical data index analysis of risk factors,and the possible link ofpulmonary complications after operation were recorded and observed. Results Univariate analysis showed that age,smoking,pulmonary disease,pleural adhesions and bullae of lung were associated with postoperative plications （P 〈 0. 05 ） . Multivariate analysis showed that age,pulmonary disease,pleural adhesions, and multiplepulmonary bullae were independent risk factors for postoperative pulmonary complications （ P 〈 0. 05 ） . Conclusion Age,smoking,pulmonary disease,pleural adhesions and bullae number are the related risk factors of pulmonarycomplications after thoracoscopic treatment of spontaneous pneumothorax.