Do Blebs or Bullae on High-Resolution Computed Tomography Predict Ipsilateral Recurrence in Young Patients at the First Episode of Primary Spontaneous Pneumothorax?

• DOI: 10.5090/kjtcs.2019.52.2.91
• Publication Date: 2019-04-24T08:12:18Z
• Authors: Sungjoon Park; Hyo Jun Jang; Ju Hoon Song; So Young Bae; Hyuck Kim; Seung Hyuk Nam; Jun Ho Lee
• Keywords: High-resolution computed tomography; Univariate analysis

The relationship between the size of bullae and pneumothorax recurrence is controversial. aim this study was to retrospectively evaluate role blebs or in predicting ipsilateral young patients experiencing their first episode primary spontaneous (PSP) who underwent conservative treatment.A total 299 cases first-episode PSP were analyzed. status reviewed on high-resolution computed tomography (HRCT). dystrophic severity score (DSS; range, 0 6 points) calculated based HRCT.The 5-year rate 38.2%. In univariate analysis, age (<20 years), body mass index kg/m2), a unilateral lesion, intermediate risk (DSS 4 5) associated with recurrence. Sex; smoking history; presence, number, maximal not related Cox regression, independent factors for High (DDS 6) an factor.The did affect DSS failed show positive correlation decision perform surgery should be determined by bullae.