Utilizing the lymphocyte-monocyte ratio in predicting the recurrence of spontaneous pneumothorax.

Cirugia y cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.22000523

Murat Saricam, Oya Guven, Berker Ozkan

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Abstract

Objective: Lymphocyte-to-monocyte ratio (LMR) has been introduced as a predictor and a prognostic factor for multiple diseases. This study aimed to determine the efficiency of LMR in predicting the recurrence of spontaneous pneumothorax.

Materials and methods: A total of 374 patients who had received chest tubes at the first episode of primary spontaneous pneumothorax were examined in terms of age, gender, side of the pneumothorax, status of recurrence, LMRs at the time of admittance and recurrence, and the interval until the recurrence.

Results: Recurrence was diagnosed in 106 (28.3%) patients, whereas the mean time until the recurrence was 15.32 ± 5.57 months. Significantly, the recurrence rate was higher, while the time until the relapse was shorter for patients with elevated levels of LMR. Moreover, LMR counting over 1.25 demonstrated a 70.8% sensitivity and a 94.4% specificity in predicting a potential recurrence.

Conclusions: Calculation of LMR at the first episode of spontaneous pneumothorax contributes to predict a potential recurrence when combined with traditional risk factors.

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利用淋巴细胞-单核细胞比值预测自发性气胸的复发。

目的：淋巴细胞与单核细胞比率（LMR淋巴细胞与单核细胞比值（LMR）被认为是多种疾病的预测和预后因素。本研究旨在确定淋巴细胞与单核细胞比值在预测自发性气胸复发方面的有效性：研究对象为 374 名首次接受胸腔置管治疗的原发性自发性气胸患者，研究内容包括患者的年龄、性别、气胸侧、复发情况、入院时和复发时的 LMR 以及复发前的间隔时间：结果：106 名患者（28.3%）被确诊为复发，距离复发的平均时间为 15.32±5.57 个月。值得注意的是，LMR 水平升高的患者复发率更高，而复发前的间隔时间更短。此外，低密度脂蛋白胆固醇计数超过 1.25 时，预测潜在复发的敏感性为 70.8%，特异性为 94.4%：结论：在自发性气胸首次发作时计算 LMR，与传统的风险因素相结合，有助于预测可能的复发。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cirugia y cirujanos

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