Ohmori K, Ohata M, Irako M, Kitamura K, Namiki Y, Muramatsu T, Sezai Y
Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 1991 Sep;92(9):1352-5.
We have experienced 67 operative cases of giant emphysematous bullae of the lung. For the bilateral lesions, two stage operation was performed in five cases and one stage operation under median-sternotomy in 12 cases. Twenty six cases were subjected to Naclerio-Langer's method, 25 cases to partial resection or plication and 15 cases to lobectomy. At the earlier period lobectomy was the treatment of choice, but, recently lobectomy was avoided for the conservation of pulmonary function. In terms of the improvement of pulmonary function, there was no difference between Naclerio-Langer's method and partial resection by Autosuture. In conclusion, for the treatment of giant bullae, partial resection by Autosuture is preferable because of improvement of pulmonary function and one stage median-sternotomy for bilateral lesions also are effective.
我们已处理过67例巨大肺大疱手术病例。对于双侧病变，5例行两阶段手术，12例行正中胸骨切开术下单阶段手术。26例行纳克莱里奥 - 兰格法，25例行部分切除术或折叠术，15例行肺叶切除术。早期肺叶切除术是首选治疗方法，但最近为保留肺功能而避免行肺叶切除术。在肺功能改善方面，纳克莱里奥 - 兰格法与自动缝合部分切除术之间无差异。总之，对于巨大肺大疱的治疗，自动缝合部分切除术因可改善肺功能而更可取，双侧病变行正中胸骨切开术下单阶段手术也有效。
