文献类型：期刊文献

英文题名：A comparative study on the efficacy and safety of thoracoscopic bullectomy combined with different pleurodesis for the treatment of spontaneous pneumothorax

作者：Yang, Kai[1,2];Liu, Yongzhi[1,2];Wang, Qi[1,2];Tang, Xv[1,2];Ye, Zhibo[1,2];Jin, Dacheng[2];Gou, Yun-jiu[2]

第一作者：杨昆;杨魁;Yang, Kai

通信作者：Gou, YJ[1]

机构：[1]Gansu Univ Tradit Chinese Med, Clin Med Coll 1, Lanzhou 730000, Peoples R China;[2]Gansu Prov Hosp, Dept Thorac Surg, Lanzhou 730000, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Prov Hosp, Dept Thorac Surg, Lanzhou 730000, Peoples R China.

年份：2025

外文期刊名：UPDATES IN SURGERY

收录：;Scopus(收录号：2-s2.0-105012435262);WOS:【SCI-EXPANDED(收录号:WOS:001544145000001)】；

基金：This research is funded by the following project. (1) The"Innovative Star"Project for Postgraduate Students of Gansu Provincial Department of Education (Project No. 2025CXZX-947). (2) Key Research and Development Project of Gansu Provincial Department of Science and Technology (Project No. 22YF7FA095). (3) The internal project of Gansu Provincial People's Hospital (Project No. 2024KYQDJ-A-3). (4) The internal project of Gansu Provincial People's Hospital (Project No. 22GSSYC-9).

语种：英文

外文关键词：Bullectomy; Parietal pleurectomy; Pleural abrasion; Spontaneous pneumothorax

摘要：Spontaneous pneumothorax represents a frequent emergency in thoracic surgery, with the rupture of pulmonary bullae being the primary cause. Thoracoscopic bullectomy combined with parietal pleural fixation has proven to be an effective approach for lesion removal and recurrence prevention. Nevertheless, there remains no consensus regarding which parietal pleural fixation method should be employed during the procedure. This study aims to compare the differences between parietal pleurectomy and pleural abrasion in terms of perioperative indicators, postoperative complications, and postoperative recurrence rates. A retrospective analysis was performed on 204 patients with spontaneous pneumothorax admitted to our center between January 2023 and December 2024. Based on the surgical procedures, patients were categorized into an observation group (n = 90) who underwent parietal pleurectomy and a control group (n = 114) who underwent pleural abrasion. Perioperative indicators, postoperative complications, and recurrence rates were systematically collected and analyzed for both groups. The control group exhibited significantly better outcomes than the observation group in terms of operation time, intraoperative blood loss, postoperative VAS score, postoperative drainage duration, total drainage volume, and length of hospital stay (P < 0.05). However, the recurrence rate at 3 months post-surgery was significantly lower in the observation group compared to the control group (P = 0.027). Additionally, no significant difference was observed in the incidence of postoperative complications between the two groups (P = 0.885). For patients with spontaneous pneumothorax combined with pulmonary bullae, parietal pleurectomy inevitably increases the perioperative burden on patients and prolongs their hospital stay; however, it effectively reduces the risk of postoperative recurrence. The safety profiles of both surgical approaches are comparable. Clinically, the most appropriate plan should be chosen based on individual patient characteristics.