[肺切除术后对侧气胸]。

M Kadokura, S Yamamoto, D Kataoka, M Nonaka, K Moriyasu, N Tanio, A Bitoh, J Matsuoka, K Inoue, T Takaba
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引用次数: 0

摘要

自1981年1月1日至1995年12月31日,共有973例患者在我院接受开胸治疗胸部疾病。在这些患者中,20名男性在平均20个月内再次入院,诊断为对侧气胸。16例患者平均年龄28.5岁(16 ~ 76岁),因肺大疱性疾病行手术治疗。其余4人,平均年龄60.8岁(54-71岁),因肺癌手术。20例患者均行单侧开胸肺切除术。1例患者因肺癌行全肺切除术;其中3人接受了肺叶切除术;16例行部分肺切除术。患者行全肺切除术后发现肺癌有对侧肺转移。在其他19例患者中,大疱性肺气肿是对侧气胸的起源。对照组体重指数(BMI)均值为18.4,未发展为对侧气胸组BMI均值为21.7,差异有统计学意义(p < 0.05)。综上所述,术后对侧气胸与肺部存在肺气肿改变及BMI明显降低有关。我们的结论是bmi小于20的患者术后发生对侧气胸的风险增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Contralateral pneumothorax after lung resection].

Nine hundred and seventy-three consecutive patients were referred to our hospital for thoracotomy to treat chest diseases between January 1, 1981, and December 31, 1995. Of these patients, 20 males were readmitted within a mean of 20 months with a diagnosis of contralateral pneumothorax. Sixteen of the patients with a mean age of 28.5 years (range 16-76 years of age) had been operated on for bullous lung disease. The remaining four, with a mean age of 60.8 years (range 54-71), had been operated on for lung cancer. All of the 20 patients had received unilateral thoracotomy for lung resection. One patient had undergone pneumonectomy for lung cancer; three had undergone lobectomy; and 16 had been treated by partial lung resection. The patient who had undergone pneumonectomy was found to have contralateral pulmonary metastasis of lung cancer. In the other 19 patients, emphysematous bulla was the origin of the contralateral pneumothorax. The mean value of body mass index (BMI) of the group was 18.4 as compared to 21.7 in the patients who did not go on to develop contralateral pneumothorax, a significant difference (p < 0.05). In conclusion, postoperative contralateral pneumothorax was correlated to the existence of emphysematous changes of the lung and a significantly lower BMI. We conclude that patients with BMIs less than 20 may be at increased risk of developing postoperative contralateral pneumothorax.

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