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自发性气胸患者不进行胸膜切除术的肺大疱切除术

Excision of bullae without pleurectomy in patients with spontaneous pneumothorax.

作者信息

Ferguson L J, Imrie C W, Hutchison J

出版信息

Br J Surg. 1981 Mar;68(3):214-6. doi: 10.1002/bjs.1800680323.

DOI:10.1002/bjs.1800680323
PMID:7470829
Abstract

In a retrospective review of 294 patients with spontaneous pneumothorax (398 episodes), 45 patients came to surgical treatment. The period of the study was 7 1/2 years, with a mean follow-up of 3 years in which there was no recurrence of pneumothorax after surgery. Operation consisted of simple excision of bullous lesions, usually located at the apex of the upper lobe, without pleurectomy. This simplified surgical approach has met with excellent result, indicating that pleurectomy is unnecessary in the treatment of this disease.

摘要

在一项对294例自发性气胸患者(共398次发作)的回顾性研究中,45例患者接受了手术治疗。研究为期7年半,平均随访3年,术后气胸无复发。手术包括单纯切除通常位于上叶尖部的肺大疱病变,不进行胸膜切除术。这种简化的手术方法取得了优异的效果,表明在该疾病的治疗中胸膜切除术是不必要的。

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