Coman C, Stan A, Micu V, Iurea A
Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1977 Oct-Dec;26(4):235-48.
On the basis of their experience in 615 cases of pleuropulmonary decortication, the authors discuss the indications, contraindications, approach and procedure in pleuropulmonary decortication. Surgery has the double purpose of suppressing the empyema cavity and recovering most of the functional pulmonary parenchyma. A personal procedure was applied consisting of thoracotomy through the sixth intercostal space, then along the cleavage lines outside the limits of the empyema pouch, from the periphery towards the center at the level of the pulsatile organs, zones called the key points of pleuropulmonary decortication. Very good results were obtained in 80--50% of the tuberculous empyema cases and in 90--95% of the non-tuberculous diseases. The authors consider that pleuropulmonary decortication is a widely applicable surgical method in pleural empyema, being one of the few surgical methods used for redressing the function of an organ.
基于他们在615例胸膜肺剥脱术病例中的经验，作者讨论了胸膜肺剥脱术的适应证、禁忌证、手术入路及操作方法。手术具有抑制脓腔并恢复大部分功能性肺实质的双重目的。采用了一种个体化的手术方法，即经第六肋间行开胸术，然后沿着脓腔袋范围外的解剖间隙，在搏动器官水平从周边向中心进行，这些区域被称为胸膜肺剥脱术的关键点。在80% - 50%的结核性脓胸病例以及90% - 95%的非结核性疾病病例中取得了非常好的效果。作者认为胸膜肺剥脱术是胸膜脓胸一种广泛适用的手术方法，是用于恢复器官功能的少数手术方法之一。
