[胸腔子宫内膜异位症与经期气胸]

[Thoracic endometriosis and catamenial pneumothorax].

作者信息

Voskresenskiĭ O V, Smoliar A N, Damirov M M, Galankina I E, Zhelev I G

出版信息

Khirurgiia (Mosk). 2014(10):4-9.

Abstract

It was analyzed own experience of diagnosis and treatment of catamenial (menstrual) pneumothorax and thoracic endometriosis and literature review. It is shown that catamenial pneumothorax has specific clinical and instrumental signs allowing to establish the diagnosis before surgery. It was proposed surgical treatment including the removal of trans diaphragmatic way of pneumothorax development, removal of thoracic endometriosis and the establishment of reliable pleurodesis. It was demonstrated that this volume of surgery can be successfully implemented by using of thoracoscopic access. Relapse prevention includes hormonal therapy for the 6 months after surgery under the supervision of an obstetrician-gynecologist.

摘要

分析了月经期（月经性）气胸和胸腔子宫内膜异位症的诊断与治疗经验并进行文献综述。结果表明，月经期气胸具有特定的临床和影像学特征，可在手术前确诊。建议采用手术治疗，包括通过经膈肌途径切除气胸病灶、切除胸腔子宫内膜异位症并建立可靠的胸膜固定术。结果表明，通过胸腔镜手术可以成功实施该手术量。预防复发包括术后在妇产科医生监督下进行6个月的激素治疗。