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在接受胸腔镜检查的儿童中,初级自发性肺胸的生存分析:单中心体验
Yujia Wu1, Jie Yu1, Yaguang Peng2
1Department of Thoracic Surgery, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, No. 56, Nan Li Shi Road, Xi Cheng District, Beijing, 100045, China.
通过胸腔镜手术治疗的儿科原发性自发性肺胸炎 (PSP) 在两年内复发率很高. 男性性别和先前的微创性修复胸部挖掘器是复发的关键风险因素.
科学领域:
- 胸部外科手术 胸部外科手术
- 儿科手术 儿科手术
- 肺部病理学 肺部病理学
背景情况:
- 在儿童中,原发性自发性肺胸炎 (PSP) 可能导致显著的发病率.
- 胸腔镜手术是PSP的常见治疗方法,但复发仍然是一个问题.
- 确定复发的风险因素对于优化患者管理至关重要.
研究的目的:
- 总结儿科PSP患者的临床特征和手术结果,这些患者接受了胸腔镜手术.
- 确定与儿童手术后PSP复发相关的风险因素.
主要方法:
- 回顾性数据收集从小儿科患者进行胸腔镜切除和多发性切除PSP.
- 对复发趋势的卡普兰-梅尔分析和用于风险因素识别的考克斯回归.
- 分析包括患者的人口统计,手术史和手术内发现 (Vanderschueren分类).
主要成果:
- 分析了63名患有PSP的儿科患者;中位数年龄为15岁,男性和女性的比例为3:1.
- 复发的重大风险因素包括男性性别和经过微创性修复胸部挖掘 (MIPRE) 的病史.
- 在手术后的头两年内,复发率最高.
结论:
- 儿科PSP的胸腔镜治疗具有显著的复发率,特别是在增值税后两年内.
- 男性患者和有MIPRE病史的患者代表PSP复发的高风险群体.
- 建议进行两年的术后监测,可能需要重新手术.
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