Waterworth P D, Kallis P, Townsend E R, Fountain S W
Thoracic Surgical Unit, Harefield Hospital, Middlesex, UK.
Respir Med. 1995 Sep;89(8):563-6. doi: 10.1016/0954-6111(95)90159-0.
Initial experience of thoracoscopic bullectomy and tetracycline pleurodesis for the treatment of spontaneous pneumothorax is reported. Thirty-three out of 49 patients admitted with spontaneous pneumothorax were suitable for treatment with this minimally invasive method. This series demonstrates that this surgical management offers early discharge and return to normal activities with excellent medium-term results, despite the three early failures. It is felt that with increased experience in thoracoscopy and improved selection of patients, thoracoscopic bullectomy and pleurodesis will become the treatment of choice for primary spontaneous pneumothorax.
本文报道了胸腔镜下肺大疱切除术及四环素胸膜固定术治疗自发性气胸的初步经验。49例因自发性气胸入院的患者中，33例适合采用这种微创方法治疗。该系列研究表明，尽管有3例早期失败病例，但这种手术治疗方式能使患者早期出院并恢复正常活动，中期效果良好。人们认为，随着胸腔镜经验的增加和患者选择的改善，胸腔镜下肺大疱切除术及胸膜固定术将成为原发性自发性气胸的首选治疗方法。
