在患有原发性自发性肺胸部病患者中,逆侧重复发的预测因素
Hatem Elbawab1, Ali Alghareeb2, Mohammed Alkhalifa2
1Division of Thoracic Surgery, Department of Surgery. College of Medicine, Imam Abdulrahman Bin Faisal university, Dammam, Saudi Arabia.
Medical archives (Sarajevo, Bosnia and Herzegovina)
|July 14, 2025
概括
确定原发性自发性肺胸炎 (PSP) 复发的预测因素至关重要. 在CT扫描中出现的反侧球状块显著增加了复发风险,指导了患者的管理,并降低了医疗保健成本.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 医学成像医学成像
背景情况:
- 初级自发性肺胸炎 (PSP) 的复发导致重入医院和增加医疗保健费用.
- 识别PSP复发的预测因素可以帮助减轻这些负担.
研究的目的:
- 为了调查与ipsilateralPSP.患者无症状的逆侧囊的结果.
- 为了确定与 contralateral 肺胸部发病率相关的风险因素.
主要方法:
- 从2014年1月到2023年5月,对184例PSP病例 (年龄在18-50岁) 的追溯分析,这些病例从2014年1月到2023年5月接受了胸腔镜切除术.
- 排除标准包括50岁以上的患者,创伤性肺胸部和双边PSP.
主要成果:
- 在14.3%的患者中发生了逆侧重性复发.
- 复发的重要预测因素包括对侧突的存在 (p=0.002),突数 (p=0.003) 和受影响的半胸侧 (p=0.036).
- 最初的PSP侧是显著的预测因素 (2.8倍更高的概率,p=0.046),而增加的突数与 contralateral肺胸部的几率下降相关 (44%的下降,p=0.038).
结论:
- 在成像中,患有PSP和逆侧突的患者需要密切跟踪.
- 告知患者复发风险对于预防并发症至关重要.
更多相关视频
相关概念视频
01:27Pneumothorax-II
380
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
380
01:26Pneumothorax-I
353
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
353
01:26Endoscopic Studies II: Thoracocentesis
519
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
519
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
275
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
275