胸腔镜下肺部手术后发生广泛皮下气肿的临床分析

Clinical analysis of risk factors about extensive subcutaneous emphysema secondary to thoracoscopic lung surgery

目的探讨胸腔镜下肺部手术后发生广泛皮下气肿的影响因素。方法回顾性分析2015年10月-2020年10月3314例行胸腔镜下肺部手术后发生广泛皮下气肿患者的临床资料,寻找发生广泛皮下气肿的相关因素,分析皮下气肿的治疗效果。结果术后广泛皮下气肿发生率为1.90%(63/3314)。其中,肺减容、胸腔粘连、合并肺气肿和术后持续漏气的患者术后广泛皮下气肿发生率高(P<0.05)。结论胸腔镜下肺部手术后广泛皮下气肿的发生与肺减容手术方式、胸腔粘连、合并肺气肿和术后持续漏气有关。

Objective To investigate the risk factors about extensive subcutaneous emphysema secondary to thoracoscopic surgery.Methods Clinical data of 3314 patients underwent thoracoscopic surgery from October 2015 to October 2020 were analyzed retrospectively.Clinical data of patients with extensive subcutaneous emphysema were analyzed to search the related factors of extensive subcutaneous emphysema and analyze the treatment effect of subcutaneous emphysema.Results The incidence of extensive subcutaneous emphysema was 1.90%(63/3314).Among them,lung volume reduction surgery,pleural adhesions,pulmonary emphysema,prolonged air leaks,were important risk factors for subcutaneous emphysema,the differences had statistical significance(P<0.05).Conclusion Lung volume reduction surgery,pleural adhesion,pulmonary emphysema,prolonged air leaks are risks factors leading to subcutaneous emphysema.