Bölcskei P L, Haberstumpf H, Trapp V E, Wellhöfer G
Abteilung für Pneumologie, Städtisches Klinikum Nürnberg.
Pneumologie. 1990 Feb;44 Suppl 1:186-7.
In a group of 74 patients, it proved possible by pleurography to localise bronchopleural fistulae, subpleural vesicles and interpleural adhesions. A comparison of the diagnostic procedures, pleurography, pulmonary CT scan and thoracoscopy, revealed that pleurography was best suited for the detection of bronchopleural fistulae, computed tomography was best in revealing subpleural or intrapulmonary vesicles, and thoracoscopy was best to demonstrate the presence of adhesions. In our patient material, the expanded diagnostic workup of spontaneous pneumothorax led to a substantial reduction in the so-called idiopathic pneumothorax from 53% to 26%. By preparing a differentiated therapeutic means, it was possible to appreciably reduce the recurrence rate of pneumothorax from 41% to 22%.
在一组74例患者中，经胸膜造影证实能够定位支气管胸膜瘘、胸膜下囊肿和胸膜粘连。对胸膜造影、肺部CT扫描和胸腔镜等诊断方法进行比较后发现，胸膜造影最适合检测支气管胸膜瘘，计算机断层扫描最有助于发现胸膜下或肺内囊肿，而胸腔镜最能显示粘连的存在。在我们的患者资料中，对自发性气胸进行的扩展诊断检查使所谓的特发性气胸比例从53%大幅降至26%。通过制定差异化的治疗方法，气胸复发率从41%显著降低至22%。
