Kitano M, Nagasawa M, Tanaka F, Koh S
Department of Thoracic Surgery, Tenri Hospital.
Kyobu Geka. 1992 Dec;45(13):1141-5.
The first plombage-operation for pulmonary tuberculosis was by Dr. Nagaishi (1947) and Dr. Wilson, who developed the plombage method employing hollow polymethylmethacrylate spheres. Although the method presented a relatively effective option at a time when no effective drugs were available, its use was discontinued because of such complications as lung injury, cavity-perforation, and empyema. Therefore, soft elastic resin materials, such as those used in sponge-plombage and air-plombage, replaced the hard resin materials. Each plombage method is associated with a certain medical historical period, in Japan. Still the "Kinchyu" method was used. However, the complication of chronic empyema with bronchopleural fistula was difficult to treat. A notable recent method is the pedicled omentum plombage method, which is effective in the treatment of patients who have not responded to standard operations. Finally there was surely a clinical significance in each medical historical period.
首例用于肺结核的填充手术是由长石医生(1947年)和威尔逊医生进行的,他们研发了使用中空聚甲基丙烯酸甲酯球的填充方法。尽管在没有有效药物的时期,该方法提供了一种相对有效的选择,但由于肺损伤、空洞穿孔和脓胸等并发症,其使用被停止。因此,诸如用于海绵填充和空气填充的软弹性树脂材料取代了硬树脂材料。在日本,每种填充方法都与特定的医学历史时期相关联。“紧急”方法仍在使用。然而,伴有支气管胸膜瘘的慢性脓胸并发症难以治疗。最近一种值得注意的方法是带蒂大网膜填充法,它对标准手术无反应的患者有效。最后,每个医学历史时期肯定都有临床意义。