Komatsu H, Katayama T, Murakami K, Sagara Y, Hayashi K
Department of Thoracic Surgery, Tokyo National Chest Hospital, Japan.
Nihon Geka Gakkai Zasshi. 1991 Sep;92(9):1356-8.
During the period of 1978 to 1990, 247 patients with chronic empyema were operated. The cure rate was 88.3%. The operation was not successful in 29 patients (11.7%), of whom 19 were operative death and 10 were those whose condition never improved to the level of discharge. The pulmonary function improved post-operatively in those patients who underwent decortication and air-plombage, but not in those who underwent pleuropneumonectomy and thoracoplasty (modification of Grow's method). Most remarkable changes of pulmonary function were seen in patients who underwent thoracoplasty. Air-plombage was found effective in controlling empyema and for the preservation and improvement of post-operative pulmonary functions.
1978年至1990年期间，对247例慢性脓胸患者进行了手术。治愈率为88.3%。29例（11.7%）手术未成功，其中19例手术死亡，10例病情未改善至出院水平。行胸膜纤维板剥脱术和胸廓内充填术的患者术后肺功能改善，而行胸膜肺切除术和胸廓成形术（改良Grow法）的患者术后肺功能未改善。胸廓成形术患者肺功能变化最为显著。发现胸廓内充填术在控制脓胸以及保存和改善术后肺功能方面有效。
