Kinugasa S, Nakao M, Sasaki M, Kuroda K
Department of Thoracic Surgery, Hirakata Municipal Hospital, Japan.
Kyobu Geka. 1995 Oct;48(11):978-81.
There is a high incidence of pneumothorax on the contralateral side in patients with unilateral spontaneous pneumothorax. This is because bullae and blebs of the lungs, the cause of this condition, are frequently present bilaterally. Recently, thoracoscopic partial lung resection has become more common and has been proven to have advantages such as less bleeding, less pain and a smaller skin incision. In view of the common occurrence of contralateral pneumothorax, bilateral simultaneous thoracoscopic partial lung resection for unilateral spontaneous pneumothorax is recommended for patients in their teens and twenties who have contralateral bullae and blebs.
单侧自发性气胸患者对侧气胸的发生率较高。这是因为导致这种情况的肺部大疱和肺小疱常常双侧存在。近来，电视胸腔镜下部分肺切除术变得更为常见，且已被证明具有出血少、疼痛轻和皮肤切口小等优点。鉴于对侧气胸常见，对于有对侧大疱和肺小疱的青少年和二十多岁的患者，建议行双侧同期电视胸腔镜下部分肺切除术治疗单侧自发性气胸。
