Weder W, Schimmer R C, Matter H, Russi E, Largiadèr F
Department Chirurgie, Universitätsspital Zürich.
Chirurg. 1993 May;64(5):392-4; discussion 395.
The open parietal pleurectomy is an effective treatment of recurrent or persistent spontaneous pneumothorax with a low recurrency rate of 3.3% in our series. The long-term course reveals very good functional results. A relatively high number of patients complains about chest wall pain or a painful thoracotomy scar. Also remarkable is the rate of dissatisfaction with the cosmetic result of the thoracotomy. Regarding both complaints thoracoscopic pleurectomy should be able to improve the results and the acceptance of this operation.
开放性壁层胸膜切除术是治疗复发性或持续性自发性气胸的一种有效方法,在我们的系列研究中复发率低至3.3%。长期随访结果显示功能恢复良好。有相当数量的患者抱怨胸壁疼痛或开胸手术瘢痕疼痛。同样值得注意的是,患者对开胸手术美容效果的不满意率。对于这两种情况,电视胸腔镜胸膜切除术应该能够改善手术效果并提高患者对该手术的接受度。