Noda Masafumi, Kondo Takashi
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Kyobu Geka. 2013 Jul;66(8 Suppl):715-20.
Intractable secondary spontaneous pneumothorax (SSP) is occasionally lethal. Therefore, conservative treatments such as chemical pleurodesis are frequently performed for inoperable patients with intractable SSP. And then the operation for SSP is more serious and intractable than primary spontaneous pneumothoraces because of decreased pulmonary function and underlying lung diseases in these patients. Therefore, the indication of polysurgery for intractable pneumothorax is controversial. We had proposed the techniques of surgical approaches for polysurgery of intractable SSP.
难治性继发性自发性气胸（SSP）偶尔会致命。因此，对于无法进行手术的难治性SSP患者，经常采用化学性胸膜固定术等保守治疗方法。而且，由于这些患者肺功能下降和存在基础肺部疾病，SSP的手术比原发性自发性气胸更严重且更难处理。因此，难治性气胸多次手术的指征存在争议。我们已经提出了难治性SSP多次手术的手术入路技术。
