Akar Erkan, Haberal Miktat Arif, Şengören Dikiş Özlem
Department of Thoracic Surgery, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
Department of Chest Diseases, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Jan 23;28(1):175-180. doi: 10.5606/tgkdc.dergisi.2020.18659. eCollection 2020 Jan.
This study aims to investigate the effects of different amounts of blood used in autologous blood patch pleurodesis on clinical outcomes in patients with secondary spontaneous pneumothorax.
Between January 2015 and April 2019, a total of 42 patients (36 males, 6 females; mean age 52.1±16.0 years; range, 25 to 83 years) with SSP treated in our clinic with persistent air leakage for more than seven days were retrospectively analyzed. The patients were divided into two groups as receiving 60 mL autologous blood patch pleurodesis (Group 1, n=20) and 120 mL autologous blood patch pleurodesis (Group 2, n=22). Data including age, gender, operation side, complications, recurrence rates, time to tube withdrawal, and length of hospital stay were recorded and compared between the groups.
The mean duration of air leakage was 3.3±2.4 (range, 1 to 11) days, the mean number of pleurodesis was 1.6±0.7 (range, 1 to 3), the mean time to tube withdrawal was 5.2±3.3 (range, 1 to 16) days, the mean length of hospitalization was 7.1±3.6 (range, 3 to 18) days. There were statistically significant differences in all variables analyzed between Group 1 and Group 2 (p<0.001).
Autologous blood patch pleurodesis is an effective and safe method in the treatment of prolonged air leakage in secondary spontaneous pneumothorax. In addition, 120 mL of blood seems to be more effective option for pleurodesis.
本研究旨在探讨自体血补片胸膜固定术中不同血量对继发性自发性气胸患者临床结局的影响。
回顾性分析2015年1月至2019年4月期间在我院接受治疗的42例继发性自发性气胸（SSP）患者，这些患者持续漏气超过7天。患者分为两组，分别接受60 mL自体血补片胸膜固定术（第1组，n = 20）和120 mL自体血补片胸膜固定术（第2组，n = 22）。记录并比较两组患者的年龄、性别、手术侧、并发症、复发率、拔管时间和住院时间等数据。
平均漏气时间为3.3±2.4（范围1至11）天，平均胸膜固定次数为1.6±0.7（范围1至3），平均拔管时间为5.2±3.3（范围1至16）天，平均住院时间为7.1±3.6（范围3至18）天。第1组和第2组之间分析的所有变量均存在统计学显著差异（p<0.001）。
自体血补片胸膜固定术是治疗继发性自发性气胸长期漏气的一种有效且安全的方法。此外，120 mL血液似乎是胸膜固定术更有效的选择。
