肺包虫囊肿破裂的危险因素探析.pdfVIP

摘 要 肺包虫囊肿破裂的危险因素分析 研究生 李得保 导师 张铸 教授 摘 要 目的：探讨肺包虫囊肿破裂的危险因素，旨在为临床上防治肺包虫囊肿破裂提 供依据。方法：回顾性分析 1995 年 1 月至 2009 年 10 月行手术以及临床资料完整的 肺包虫囊肿患者 189 例，对其临床资料进行分析，以肺包虫囊肿破裂为因变量，对 性别、年龄、族别、职业、咳嗽、首次诊断、并发呼吸系统疾病、并发其他脏器包 虫、包虫囊肿感染、低蛋白血症、包虫位置、包虫大小、包虫数目及复发性包虫病 等 14 个常见危险因素进行单因素及多因素非条件 logistic 逐步回归分析。结果：单 因素分析显示职业、首次诊断、咳嗽、并发呼吸系统疾病、包虫囊肿感染、低蛋白 血症及合并其他脏器包虫病与肺包虫囊肿破裂相关 （P ＜0.05 ）。多因素非条件 logistic 逐步回归分析显示并发呼吸系统疾病 (OR=8.414) 、包虫囊肿感染 (OR=4.435) 、咳嗽 (OR=4.193) 、职业 (OR=2.659) 、首次诊断 (OR=2.612)是肺包虫囊肿破裂的独立危险 因素。结论：肺包虫囊肿破裂是由多因素导致的，并发呼吸系统疾病、包虫囊肿感 染、咳嗽、职业及首次诊断是肺包虫囊肿破裂的危险因素，临床上除针对肺包虫囊 肿破裂的危险因素，对高危人群采取相应的措施进行预防外，更重要的是应尽早手 术治疗。 关键词：包虫囊肿，肺；破裂，囊肿；危险因素 —1— 新疆医科大学硕士学位论文 The analysis of risk factors for the rupture of pulmonary hydatid cyst Postgraduate ：LI Debao Supervisor ：ZHANG Zhu Abstract Objective: To determine the risk factors for the rupture of pulmonary hydatid cyst. Methods: Retrospective analysis of 189 patients who were operated on from Jan 1995 to Oct. 2009, the clinical data of those patients were orbicular. The dependent variable were the rupture of pulmonary hydatid cyst. 14 frequent risk factors were analyzed by univariately analysis and by multiple logistic discriminant analysis. Results: Occupation, To diagnose by the first time, Cough, Complicated by respiratory disease, The infection of pulmonary hydatid cyst, Hypoproteinemia and Complicated by hydatid cysts of other organs were associated with the rupture of pulmonary hydatid cyst (P ＜0.05 ）. Complicated by respiratory disease (OR=8.414), The infection of pulmonary hydatid cyst (OR=4.435), Cough (OR=4.193), Occupation (OR=2.659),