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| Clinical Efficacy of Minimally Invasive Thoracoscopic Surgery and Risk Factors of Postoperative Recurrence for Bilateral Pneumothorax with Spontaneous Pneumothorax |
| XIA Mei, LI Wei-na, DU Gao-li,et al |
| The First Hospital Affiliated to AMU,Chong Qing 400038 |
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Abstract 【Objective】To analyze the clinical efficacy and postoperative recurrent risk of minimally invasive thoracoscopic surgery in the treatment of bilateral pulmonary bullae with spontaneous pneumothorax. 【Methods】A total of 94 patients with bilateral pulmonary bullae and spontaneous pneumothorax, who were treated in our hospital from June 2016 to May 2017 were retrospectively analyzed. According to different surgical methods, patients were randomly divided into the observation group (n=50 cases) and the control group (n=44 cases). The control group received routine thoracotomy and the observation group received minimally invasive thoracoscopic surgery. The clinical efficacy and operative indicators of the two groups were compared. The postoperative complications and related risk factors of postoperative recurrence were analyzed between the two groups. 【Results】The total effective rate of the observation group was 94.00%, which was significantly higher than that of the control group 75.00% (P<0.05). The intraoperative blood loss of the observation group was less than that of the control group. The operation time, chest tube drainage time and hospitalization time in the observation group were shorter than those in the control group. The differences between the two groups were statistically significant (P<0.05). The incidence of complications in the control group was 18.19%, which was significantly higher than that of the observation group 4.00% (P<0.05). However, there was no significant difference in recurrence rates between the two groups (P>0.05). The incidence of recurrent pneumothorax and chest tube indwelling time more than 8 day in control group was significant higher than that in observation group (P<0.05). 【Conclusion】Minimally invasive thoracoscopic surgery improves the clinical efficacy of bilateral pulmonary bullae combined with spontaneous pneumothorax and reduces the incidence of postoperative complications. Our results suggests that recurrent pneumothorax and chest tube indwelling time >8d may be the main risk factors for postoperative recurrence.
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Received: 04 September 2018
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2019, Vol. 36 
