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首页> 外文期刊>Journal of bronchology & interventional pulmonology >If Background Lung Abnormalities Do Not Affect the Presentation of Spontaneous Pneumothorax, Is Lung Resection Always Justified?
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If Background Lung Abnormalities Do Not Affect the Presentation of Spontaneous Pneumothorax, Is Lung Resection Always Justified?

机译：如果背景肺异常不影响自发性气胸的呈现，肺切除总是合理的吗？

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Background: The suggestion that spontaneous pneumothorax (SP) may result from diffuse porosity rather than discrete anatomic abnormality challenges the practice of targeted bullectomy. We assessed whether underlying pulmonary abnormalities are correlated or could be predicted from the mode of presentation, with potential implications for treatment. Methods: We analyzed 192 consecutive video-assisted thoracoscopic surgery resections for SP (139 primary, 53 secondary) in 171 patients (115 male, age 36, range, 16 to 81). Presentation was categorized as: recurrent never drained (RND), recurrent drained, persistent air leak (PAL). Resected lung pathology was categorized as: no bleb/bulla, ruptured bleb/bulla, unruptured bleb/ bulla. Results: No correlation between presentation and resected lung pathology was observed for primary (P = 0.608) or secondary SP (P = 0.597). A similar proportion of patients in each pathologic group presented with PAL or RND; ruptured bleb/bulla or no bleb/bulla was equally noted in PAL and RND group.
机译：背景：自发性气胸（SP）可能由漫射孔隙率而不是离散解剖异常引起的建议挑战靶向裂缝术的实践。我们评估了潜在的肺异常是否相关或可以从呈现方式预测，具有治疗的潜在影响。方法：我们在171名患者中分析了192名连续视频辅助胸镜手术切除（139初级，53中学）（115名男性，年龄36，范围，16至81）。演示文稿被分类为：反复出现从未排出（RND），经常发出的排水，持续的空气泄漏（PAL）。切除的肺病理学被分类为：没有BLEB / BULLA，破裂的BLEB / BULLA，蒙拔BLEB / BULLA。结果：对初级（P = 0.608）或二次SP（P = 0.597）观察介绍和切除肺病理学之间的不相关（p = 0.597）。患有PAL或RND的每种病理学组中的患者的类似比例; Pal和RND集团的BLEB / BULLA破裂或没有BLEB / BULLA同样注意到。

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