Division of Pulmonology, Center of Lung Cancer, National Cancer Center, Goyang, Korea.
Division of Pulmonology and Critical and Care Medicine, Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
J Korean Med Sci. 2020 Apr 6;35(13):e80. doi: 10.3346/jkms.2020.35.e80.
The impact of bronchiectasis on the occurrence of postoperative pulmonary complications (PPC) after extra-pulmonary surgery in patients with airflow limitation is not well elucidated. A retrospective analysis of 437 patients with airflow limitations, including 62 patients with bronchiectasis, was conducted. The analysis revealed that bronchiectasis was associated with increased PPC (adjusted odds ratio [aOR], 2.73; = 0.001), which was especially significant in patients who did not use bronchodilators (aOR, 3.24; = 0.002). Our study indicates that bronchiectasis is associated with an increased risk of PPC following extra-pulmonary surgery in patients with airflow limitation, and bronchodilators may prevent PPC in these patients.
支气管扩张症对气流受限患者肺外手术后肺部并发症（PPC）发生的影响尚不清楚。对 437 例气流受限患者（包括 62 例支气管扩张症患者）进行了回顾性分析。分析显示，支气管扩张症与 PPC 增加相关（调整后的优势比 [aOR]，2.73；P = 0.001），在未使用支气管扩张剂的患者中更为显著（aOR，3.24；P = 0.002）。我们的研究表明，支气管扩张症与气流受限患者肺外手术后 PPC 的风险增加相关，支气管扩张剂可能预防这些患者的 PPC。
