Guérin J C, Champel F, Martinat Y, Boniface E
Service de Pneumologie, Höpital de la Croix-Rousse, Lyon.
Rev Mal Respir. 1987;4(4):167-71.
Six new cases seen personally, and 72 cases of catamenial pneumothorax found in the literature have had thoracoscopic talcage. We shall discuss several peculiarities of this syndrome: its relative rarity, symptoms linked to periods, the specific and unique endopleural aspects, confirming certain pathogenetic theories, the first among which is pleural endometriosis. Therapeutic methods are also discussed, stressing the sharing of the association between pleural symphysis surgically and above all by thoracoscopy with antigonadotrophic hormone therapy an association which alone gives good results in 95% of cases.
本人亲自诊治了6例新病例，在文献中发现72例月经性气胸患者接受了胸腔镜滑石粉喷洒治疗。我们将讨论该综合征的几个特点：其相对罕见性、与月经周期相关的症状、特定且独特的胸膜内表现，这证实了某些发病机制理论，其中首要的是胸膜子宫内膜异位症。还讨论了治疗方法，强调手术胸膜固定术（尤其是通过胸腔镜）与促性腺激素释放激素激动剂治疗相结合，这种联合治疗在95%的病例中单独使用就能取得良好效果。
