Eschapasse H, Fabre J, Toffa R, Taobane Y, Gaillard J, Berthoumieu F, Fournial G
Rev Fr Mal Respir. 1980;8(2):155-8.
Complementary pleurectomy following emphysematous bullae resection is justified only if it improves long-term results in comparison with surgical symphysis obtained by pleural irritation. This cannot be proved at this time. On the other hand, in spite of their limitations, experiments in man suggest that this pleurectomy does not cause any particular complications. In the animal, this parietal pleural resection causes cortical fibrous alveolitis which is not present after other symphysis processes. The authors suggest therefore the use of pleurectomy as a complement of bullae resections in acute and diffuse emphysema.
只有与通过胸膜刺激获得的手术粘连相比,肺大疱切除术后的补充性胸膜切除术能改善长期效果时,才是合理的。目前尚无法证实这一点。另一方面,尽管存在局限性,但人体实验表明这种胸膜切除术不会引起任何特殊并发症。在动物身上,这种壁层胸膜切除术会导致皮质纤维性肺泡炎,而在其他粘连过程后则不存在。因此,作者建议在急性和弥漫性肺气肿中,将胸膜切除术用作肺大疱切除术的补充。