新发传染病电子杂志2023，Vol.8Issue(6)：31-36,6.DOI:10.19871/j.cnki.xfcrbzz.2023.06.006
Ⅲ期结核性脓胸胸廓塌陷程度的评估及术后胸廓形态改善相关影响因素分析
Evaluation of the degree of thoracic collapse in stage Ⅲ tuberculous empyema and analysis of the factors related to improvement of thoracic collapse after surgery
摘要
Abstract
Objective To find an objective evaluation method for the degree of thoracic collapse of stage Ⅲ tuberculous empyema,and to analyze the related factors affecting the improvement of thoracic collapse after stage Ⅲ tuberculous empyema.Method Retrospective analysis was performed on stage Ⅲ patients with tuberculous empyema who received surgical treatment in Chengdu Public Health Clinical Center from February 2018 to August 2021.Chest CT examination was performed 12 months after surgery,and the half circumference of the inner margin of the bone of the affected side and the healthy side was measured through the plane of the carina and xiphoid process,and the"thoracic collapse index"was calculated.The study population was divided into the group with significant improvement of thoracic collapse and the group without significant improvement,and the factors affecting the significant improvement of thoracic collapse were analyzed.Result A total of 62 patients were included in the study,including 46 males and 16 females,with an average age of(27.58±12.55)years.The thoracic collapse index in the carina and xiphoid plane after each follow-up period was significantly lower than that before surgery(P＜0.05),and the overall trend was gradually decreasing.The thoracic collapse recovery was the best and the thoracic collapse index was the lowest 12 months after surgery.In the follow-up period of 12 months after surgery,the study population was divided into two groups:significantly improved thoracic collapse group and no significantly improved thoracic collapse group according to whether the"improvement percentage of thoracic collapse"was≥4%or not.Multivariate logistic regression analysis showed that the disease course＜6 months(P=0.048),BMI＜18.5kg/m2(P=0.043)and preoperative pleural thickness＜1cm(P=0.027)were the risk factors for significant improvement of thoracic collapse after carinal plane surgery.BMI＜18.5kg/m2(P=0.042)was a protective factor that significantly improved thoracic collapse after xiphoid plane surgery.Conclusion In this study,the index"thoracic collapse index"was successfully defined to quantitatively evaluate the degree of thoracic collapse in stage Ⅲ tuberculous empyema,and the related factors affecting the improvement of postoperative thoracic collapse were preliminarily found.关键词
结核性脓胸/胸廓塌陷/塌陷指数/影响因素/相关性Key words
Tuberculous empyema/Thoracic collapse/Collapse index/Influence factor/Correlation分类
医药卫生引用本文复制引用
陈世铭,姚晓军,李刚,贾霜,龚胜,宋毅杰,吴邦贵,李霄,钟明,蒋良双..Ⅲ期结核性脓胸胸廓塌陷程度的评估及术后胸廓形态改善相关影响因素分析[J].新发传染病电子杂志,2023,8(6):31-36,6.基金项目
中国公共卫生联盟课题(第一批)(GWLM202018) （第一批）
