腹腔镜外科杂志2024，Vol.29Issue(5)：321-325,5.DOI:10.13499/j.cnki.fqjwkzz.2024.05.321
自发性气胸单孔胸腔镜手术后肺部并发症预测模型的构建
Prediction model construction of pulmonary complications after single port thoracoscopic spontaneous pneumothorax operation
王永平 1王辉 1郑翔 1闻作川 1田浩 1陈鹏 1刘冠群1
作者信息
- 1. 北京市大兴区人民医院胸外血管外科,北京,102600
- 折叠
摘要
Abstract
Objective:To investigate the construction of prediction model of pulmonary complications in patients with spontane-ous pneumothorax after single port thoracoscopic surgery.Methods:From May 2021 to May 2022,106 patients with spontaneous pneu-mothorax who had undergone single port thoracoscopic surgery were selected and divided into complication group(n=22)and non-complication group(n=84)according to the occurrence of postoperative lung complications.The clinical data of the patients in two groups were analyzed by univariate and multivariate analysis,and the risk factors affecting postoperative pulmonary complications were screened out,and the prediction model was constructed by nomogram.Results:Age,smoking history,pulmonary disease,severe pleural adhesion,number of pulmonary bullae,pain grade 24 h after surgery,and intraoperative blood loss in the complication group were higher than those in the non-complication group,preoperative albumin level was lower.Multivariate logistic regression analysis showed that age≥50 years old(OR=1.240,95%CI=1.064～1.445),pulmonary disease(OR=26.154,95%CI=1.224～558.648),severe pleural adhesion(OR=23.289,95%CI=2.940～184.520)and the number of pulmonary bullae＞2(OR=2.878,95%CI=1.787～4.633)were independent risk factors for postoperative pulmonary complications(P＜0.05).The area under receiver operating charac-teristic curve of the predictive model established based on the above risk factors for predicting postoperative pulmonary complications was 0.82(95%CI=0.756～0.874),the sensitivity and specificity was 82.33%and 65.47%,respectively.Conclusions:Age,pul-monary disease,severe pleural adhesion,and the number of pulmonary bullae are independent risk factors for pulmonary complications after single port thoracoscopic spontaneous pneumothorax operation.The prediction model based on these factors has good predictive val-ue for predicting the risk of postoperative pulmonary complications.关键词
自发性气胸/胸腔镜检查/单孔/术后肺部并发症/预测模型Key words
Spontaneous pneumothorax/Thoracoscopy/Single port/Postoperative pulmonary complications/Prediction model分类
医药卫生引用本文复制引用
王永平,王辉,郑翔,闻作川,田浩,陈鹏,刘冠群..自发性气胸单孔胸腔镜手术后肺部并发症预测模型的构建[J].腹腔镜外科杂志,2024,29(5):321-325,5.
