Recurrence rate of pneumothorax thoracoscopic surgery

As we all know, there is a certain amount of empty space in our chest cavity, and the so-called pneumothorax refers to the gas entering the chest cavity through the pleural membrane and causing compression. Pneumothorax is a lung disease that mostly occurs in young and middle-aged men. The gas can be compressed through thoracoscopic surgery. However, although the specific recurrence rate after surgery is unknown, its surgical recurrence rate is extremely high, so many causes of recurrence should be paid attention to.

First pneumothorax recurred.

The recurrence of pneumothorax is related to the treatment method. Generally speaking, the recurrence rate is higher in patients who receive conservative treatment with simple suction; in patients who use closed drainage with a chest tube, the recurrence rate will be lower due to pleural reaction and pleural adhesion, but it will also bring about the serious consequence of ectopic adhesion, which will cause more stubborn recurrence. Doctors generally recommend minimally invasive thoracoscopic surgery. Minimally invasive thoracoscopic surgery can completely remove the bullae, thereby curing pneumothorax and reducing the recurrence rate of pneumothorax to less than one percent. It enables patients with pneumothorax to say goodbye to the recurrence of pneumothorax forever and live a happy and healthy life again.

Second primary pneumothorax.

Also called idiopathic pneumothorax. It refers to pneumothorax that occurs in healthy people in whom routine lung X-ray examinations fail to reveal obvious lesions. It is more common in young people, especially thin and tall men. According to foreign literature reports, this type of pneumothorax accounts for the largest proportion of spontaneous pneumothorax, while in China, secondary pneumothorax is the main type.

Third, secondary pneumothorax.

Its mechanism of occurrence is the formation of pulmonary bullae or direct damage to the pleura on the basis of other lung diseases. Bullae are often formed on the basis of chronic obstructive pulmonary emphysema or post-inflammatory fibrosis (such as silicosis, chronic tuberculosis, diffuse pulmonary interstitial fibrosis, cystic pulmonary fibrosis, etc.). The bronchioles are narrowed and twisted due to inflammation, producing a living valve mechanism. The enlarged emphysematous bubbles undergo degenerative degeneration due to nutritional and circulatory disorders.

Fourth, symptoms of pneumothorax.

When pneumothorax occurs, patients will experience dyspnea, the severity of which is related to the course of the attack, the degree of lung compression and the original lung function status. Young patients with normal respiratory function may not have obvious dyspnea. Even if the lungs are compressed by 80%, they can only feel slight chest tightness during activities. However, elderly patients with chronic obstructive pulmonary emphysema may have obvious dyspnea even if the lungs are slightly compressed. In acute pneumothorax, the symptoms may be more obvious, while in chronic pneumothorax, the healthy lung can compensatory expand and the clinical symptoms may be milder.