Objective: To explore the performance characteristics of CT examination in primary spontaneous pneumothorax (PSP) and the effect of pleurodesis on patients with PSP. Methods: Sixty-four patients with PSP, who received medical care in the Affiliated Hospital of Hebei University from January 2017 to December 2021, were selected as the research subjects, of which 40 were male and 24 were female patients. All 64 patients were examined by X-ray and CT; the density, enhancement, and morphology of the pneumothorax were observed and analyzed, and the classification of pneumothorax was done. Results: The clinical analysis of 64 patients with PSP showed that the number of cases with unilateral pneumothorax was 42, accounting for 65.63%, whereas the number of cases with bilateral pneumothorax was 22, accounting for 34.37%. Among the cases of unilateral pneumothorax, the number of cases with left pneumothorax was 26, accounting for 61.90%, whereas the proportion of cases with right pneumothorax was 38.10%. When examined by CT, the diagnostic coincidence rate of 64 patients with PSP was 73.44%; using X-ray examination, the diagnostic coincidence rate of 64 patients with PSP was 92.19%. Conclusion: The detection accuracy of CT is higher than that of X-ray examination, which may improve the treatment effect in PSP, ensure the accuracy of findings, and facilitate follow-up treatment as well as the effect of postoperative analysis.
Yang J, Hu X, Li J, et al., 2022, Correlative Analysis of lung CT Findings in Patients with Birt-Hogg-Dube Syndrome and the Occurrence Of Spontaneous Pneumothorax: A Preliminary Study. BMC Medical Imaging, 22(1): 1–8.
Lee SH, Lee SG, Cho SH, et al., 2022, Outcomes of Single-Incision Thoracoscopic Surgery Using the Spinal Needle Anchoring Technique for Primary Spontaneous Pneumothorax. Journal of Chest Surgery, 55(1): 44.
Wu W, 2021, Comparative Study on the Effect of VATS and VAMT on the Clinical Efficacy of Patients with Spontaneous Pneumothorax. Gansu Science and Technology, 37(20): 126–128.
Duffy A, Ward J, Malvika B, et al., 2021, Ambulatory Management of Primary Spontaneous Pneumothorax. Breathe, 17: 200342. https://doi.org/10.1183/20734735.0342-2020
Huang Y, Ma R, Li G, et al., 2021, Thoracoscopic Bullectomy Combined with Pleural Fixation in the Treatment of Spontaneous Pneumothorax in Adolescents. Clinical Medical Engineering, 28(05): 561–562.
Xu T, 2020, Clinical Diagnostic Value of Observing Chest CT in Chest Radiograph Negative Spontaneous Pneumothorax. China Medical Device Information, 26(04): 148–149.
Gong L, Luo W, Wang Y, 2016, Clinical Summary of Spontaneous Pneumothoracic Surgery in 34 Young Adults. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine, 26(11): 86–88.
Luo X, 2016, Clinical Experience of Patients with Spontaneous Pneumothorax. World Latest Medical Information Abstracts, 16(47): 120 + 125.
Wang C, 2016, Clinical Characteristics of Spontaneous Pneumothorax in Women. Southeast University.
Gong L, Luo W, Wang W, et al., 2016, Clinical Analysis of 22 Cases of Concealed Spontaneous Pneumothorax. Chinese Primary Medicine, 23(09): 1387–1389.
Liu X, 2016, Electrocardiogram Analysis of Patients with Spontaneous Pneumothorax. Gansu Medicine, 35(03): 209–211.
Feng W, Bai X, 2016, Research Progress of Spontaneous Pneumothorax. Journal of Practical Medical Technology, 23(01): 48–51.
Hou X, 2015, X-ray Manifestations and Clinical Analysis of Spontaneous Pneumothorax. Everyone Health (Academic Edition), 9(21): 60.
Jiang D, 2015, The Diagnostic Value of X-ray and CT in Spontaneous Pneumothorax. Chinese Medical Guide, 13(20): 122–123.
Bu X, 2013, CT Measurement of Trachea and Thoracic Diameter Line in Young Patients with Spontaneous Pneumothorax and Its Related Factors Analysis. Dalian Medical University.
Huang D, Lu Y, Li Q, et al., 2009, CT Diagnostic Value Analysis of a Small Amount of Spontaneous Pneumothorax. Journal of Youjiang Medical College for Nationalities, 31(03): 457–458.