Sadi KAYA, Koray AYDOĞDU, Yücel YÜZBAŞIOĞLU, Şevki Mustafa DEMİRÖZ, Funda İNCEKARA, Göktürk FINDIK, İlteriş TÜRK

Kadınlarda Primer Spontan Pnömotoraks Katamenial İlişikisininDeğerlendirilmesi

GİRİŞ ve AMAÇ: Primer spontan pnömotoraks göğüscerrahisi acillerinden birisidir, tedavi edilmezse önemlimorbidite ve mortalite sebebidir. Bu çalışmayı kadınhastalardaki primer spontan pnömotoraks nedenleriniaraştırmak, nüks oran ve nedenlerini belirlemek amacıylasunmaktayız. YÖNTEM ve GEREÇLER: Göğüs Cerrahisi kliniğimizdeOcak 2013-19 tarihleri arasında tedavi edilen primer spontanpnömotoraks tanılı 675 olgudan 44 kadın olgu retrospektifolarak değerlendirildi. Hastalar yaş, sigara, menstrüasyonsiklus, pnömotoraks atakları, radyolojik ve ameliyat bulguları,tedaviler ve sonuçları açısından değerlendirildi. BULGULAR: Primer spontan pnömotorakslı olguların 44’ü(%6.5) kadın idi. Yaş ortalaması 29.2’idi. Çalışmamızdakatamenial olan 7(%15.91) olgu mevcuttu. ve 7 olguda 19 kezpnömotoraks nüksü gelişmiştir. Pnömotorakslarda operasyonsonrası nüks oranı çok azdır fakat bizim serimizde cerrahiuygulanan 22 olgunun 4’ünde(%18.18) nüks izlendi ve nüksizlenen bu hastaların 3’ü(%75) katameniyal pnömotoraksidi.Pnömotoraksın yerleşim yeri incelendiğinde; 22(% 50)olguda sağ, 19(% 43.1) olgudasol, 3 (%6.8) olgudabilateralPSP mevcuttu.Olguların tümü semptomatik olup; nefes darlığıve göğüs ağrısı 14(%31.8) olguda, yalnızca nefes darlığı 7(%15.9) olguda ve yalnızca göğüs ağrısı 23(% 52.2) olgudagörüldü. TARTIŞMA ve SONUÇ: Primer spontan pnömotorakskadınlarda çok nadir görülmektedir. Nadir görülmesinerağmen özellikle katameniyal primer spontan pnömotoraks olanlar daha çok nüks gerçekleştiğini düşünmekteyiz. Kadınprimer spontan pnömotoraks olguları menstrüasyon sikluslarısorgulanmalı ve katemeniyal pnömotoraks hep akıldaolmalıdır.

Evaluation of Primary Spontaneous Pneumothorax Catamenial Relationship in Women

INTRODUCTION: Primary spontaneous pneumothorax is oneof the emergencies of thoracic surgery and, if left untreated, isa major cause of morbidity and mortality. We present thisstudy to investigate the causes of primary spontaneouspneumothorax in women, and to determine the recurrence rateand causes. METHODS: Of 675 patients diagnosed with primaryspontaneous pneumothorax, treated in our Thoracic SurgeryClinic between January 2013-19, 44 female patients wereevaluated retrospectively. The patients were evaluated in termsof age, smoking, menstrual cycle, pneumothorax attacks,radiological and surgical findings, treatments and results. RESULTS: Forty four (6.5%) of the patient with primaryspontaneous pneumothorax were women. The average age was29.2. In our study, there were 7(15.91%) catamenialpnuemothorax cases and these 7 cases had recurrentpneumothorax for 19 times. The recurrence rate ofpneumothorax after the operation is very low but in our series,4(18.18%) of 22 patients who underwent surgery hadrecurrence and 3(75%) of these recurrences were catamenialpneumothorax. PSP was present on the right side in 22(50%),cases on the left side in 19(43.1%) cases and bilateral in3(6.8%) cases. All cases were symptomatic; both shortness ofbreath and chest pain were observed in 14(31.8%) cases onlyshortness of breath in 7(15.9%) cases and only chest pain in23(52.2%) cases. DISCUSSION AND CONCLUSION: Primary spontaneouspneumothorax is very rare in women. Although rare, webelieve more recurrence ocur, especially those with catamenialprimary spontaneous pneumothorax. In female primaryspontaneous pneumothorax cases, menstrual cycles should bequestioned and catemenial pneumothorax should always bekept in mind.

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