Fung Stephen, Ashmawy Hany, Schauer Anja, Eichler Martin, Safi Sami, Dizdar Levent, Rehders Alexander, Knoefel Wolfram Trudo, Fluegen Georg
Department of Surgery, University Hospital Duesseldorf, Heinrich-Heine-University Duesseldorf, Moorenstrasse 5, 40225 Duesseldorf, Germany.
National Center for Tumor Diseases (NCT/UCC), University Hospital Carl Gustav Carus, TU Dresden, 01307 Dresden, Germany.
Healthcare (Basel). 2021 Oct 29;9(11):1463. doi: 10.3390/healthcare9111463.
Video-assisted thoracoscopic surgery (VATS) with partial pleurectomy is an established treatment for primary spontaneous pneumothorax (PSP). However, postoperative pulmonary function and health-related quality of life (HR-QoL) after VATS-bullectomy with partial pleurectomy (VBPP) have not been elucidated.
Eligible patients were assessed for HR-QoL using the Short-Form 36 (SF-36) health survey. Pulmonary function (PF) was evaluated by spirometry. We compared the results of the VBPP cohort with the German national norms, and with a similar cohort of patients successfully treated by chest tube (CT) only.
A total of 25 VBPP patients completed the SF-36 health survey, of whom 15 presented for PF assessment. Between the VBPP and CT groups, the mean forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC ratio were not statistically significantly different. However, in both groups, FVC, FEV1, and FEV1/FVC were above the lower limit of normal (LLN), suggesting no restrictive or obstructive patterns. Compared with the sex- and age-matched normal German population, patients who underwent VBPP displayed a similar physical component summary score and a significantly decreased mental component summary score. Interestingly, comparison of the SF-36 domains between the VBPP and CT groups showed no statistical difference.
VBPP is a suitable surgical treatment for PSP, with no apparent adverse impacts on pulmonary or physical function. However, psychological distress and measures to counteract its impact should be considered.
电视辅助胸腔镜手术（VATS）联合部分胸膜切除术是原发性自发性气胸（PSP）的既定治疗方法。然而，VATS肺大疱切除术联合部分胸膜切除术（VBPP）术后的肺功能和健康相关生活质量（HR-QoL）尚未阐明。
使用简短健康调查问卷36项（SF-36）对符合条件的患者进行HR-QoL评估。通过肺活量测定法评估肺功能（PF）。我们将VBPP队列的结果与德国国家规范以及仅通过胸管（CT）成功治疗的类似患者队列进行了比较。
共有25例VBPP患者完成了SF-36健康调查，其中15例进行了PF评估。在VBPP组和CT组之间，平均用力肺活量（FVC）、一秒用力呼气量（FEV1）和FEV1/FVC比值无统计学显著差异。然而，两组的FVC、FEV1和FEV1/FVC均高于正常下限（LLN），表明无限制性或阻塞性模式。与性别和年龄匹配的德国正常人群相比，接受VBPP的患者身体成分汇总得分相似，心理成分汇总得分显著降低。有趣的是，VBPP组和CT组之间SF-36各领域的比较无统计学差异。
VBPP是PSP的一种合适手术治疗方法，对肺功能或身体功能无明显不利影响。然而，应考虑心理困扰及其应对措施。
