Cimochowski G E, Joyner L R
Surg Annu. 1989;21:49-71.
Pleural peritoneal shunting is a new technique that can be used for patients with symptomatic pleural effusion recalcitrant to the usual methods of treatment. Sclerotherapy with a thoracostomy tube is still the mainstay of treatment, but this new procedure has a place if other methods fail. Success can be anticipated in most of the patients with simple insertion under local anesthesia. The occasional obstructed shunt is readily remedied by easy insertion of another pleural peritoneal shunt. No adverse long-term effects have been noted, and satisfactory function can be achieved with minimal morbidity for at least 21 months.
胸膜腹膜分流术是一种可用于对常规治疗方法无效的有症状胸腔积液患者的新技术。经胸造瘘管进行硬化治疗仍是主要的治疗方法，但如果其他方法失败，这种新手术也有其用武之地。在大多数局部麻醉下简单插入分流管的患者中有望取得成功。偶尔出现的分流管堵塞可通过轻松插入另一根胸膜腹膜分流管来轻易解决。未观察到长期不良影响，并且至少21个月内以最小的发病率可实现满意的功能。
