Akçıl Ali Murat, Yaran Onur Volkan, Cansever Levent, Aker Cemal, Seyrek Yunus, Bedirhan Mehmet Ali
Department of Thoracic Surgery, University of Health Sciences Yedikule Chest Diseases and Thoracic Surgery Health Practice and Research Center, Istanbul, Türkiye.
Thoracic Surgery Unit, Bayburt State Hospital, Bayburt, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Derg. 2024 Jan 29;32(1):46-54. doi: 10.5606/tgkdc.dergisi.2023.25290. eCollection 2024 Jan.
In this study, we aimed to investigate the relationship between bronchiectasis criteria, scores, and indices used today and surgical interventions due to bronchiectasis.
Between January 2009 and December 2018, a total of 106 patients (53 males, 53 females; mean age: 39.1±12.3 years; range, 14 to 68 years) with non-cystic fibrous bronchiectasis were retrospectively analyzed. We determined symptom improvement and complications as main factors. We divided the patients into two main groups: those who had symptom improvement after pulmonary resection (Group 1, n=89) and those who did not (Group 2, n=17). We further analyzed patients who had postoperative complications (n=27) with those who did not (n=79). The following scores and criteria were used in this study: modified Reiff score, Gudbjerg criteria, Naidich criteria, Bronchiectasis Severity Index, and FACED scoring.
There was a statistically significant difference between the groups in terms of the modified Reiff scores and FACED scores. As the modified Reiff score increased, there was a higher rate of symptom relief (p=0.04). Contrary to this, an increase in the FACED score predicted a poorer postoperative outcome (p=0.03). Considering complications, a significant difference was observed in the Gudjberg criteria, and higher grade suggested a higher risk of complication (p=0.02).
The grading and scoring systems related to bronchiectasis may have some predictive value in terms of surgical outcomes. A high modified Reiff score and a low FACED score can predict postoperative success, whereas Gudbjerg criteria can indicate postoperative complications.
在本研究中，我们旨在调查目前使用的支气管扩张症标准、评分和指数与支气管扩张症手术干预之间的关系。
回顾性分析2009年1月至2018年12月期间共106例非囊性纤维化支气管扩张症患者（53例男性，53例女性；平均年龄：39.1±12.3岁；范围为14至68岁）。我们将症状改善和并发症确定为主要因素。我们将患者分为两个主要组：肺切除术后症状改善的患者（第1组，n = 89）和未改善的患者（第2组，n = 17）。我们进一步分析了有术后并发症的患者（n = 27）和无术后并发症的患者（n = 79）。本研究使用了以下评分和标准：改良Reiff评分、Gudbjerg标准、Naidich标准、支气管扩张严重程度指数和FACED评分。
两组在改良Reiff评分和FACED评分方面存在统计学显著差异。随着改良Reiff评分增加，症状缓解率更高（p = 0.04）。与此相反，FACED评分增加预示术后结果较差（p = 0.03）。考虑并发症时，在Gudjberg标准方面观察到显著差异，更高等级提示并发症风险更高（p = 0.02）。
与支气管扩张症相关的分级和评分系统在手术结果方面可能具有一定的预测价值。高改良Reiff评分和低FACED评分可预测术后成功，而Gudbjerg标准可提示术后并发症。
