Oizumi H, Fujishima T, Masaoka T, Murai K, Yuki Y, Aoyama K, Washio M
Second Department of Surgery, Yamagata University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Sep;41(9):1502-5.
Examination was made of 9 consecutive patients who underwent intracavitary suction for giant bulla. A second operation was required for one patient who had multiple giant bullae. In the other 8 patients, improvement of pulmonary function and symptoms was obtained immediately following the operation. This was particularly more apparent in patients with poor pulmonary function. The following results were obtained. Functional recovery was evident from the early postoperative phase. A one-stage operation was possible. Reduction in postoperative drainage time was realized by bronchial occlusion. The present operation is particularly applicable to compromised patients. Computed tomography scanning is essential for evaluation of the drainage site. For giant bulla with some septation and multivesicular, the present mode of treatment would not be indicated.
对9例连续接受巨大肺大疱腔内抽吸术的患者进行了检查。1例患有多个巨大肺大疱的患者需要进行二次手术。在其他8例患者中,术后肺功能和症状立即得到改善。这在肺功能较差的患者中尤为明显。获得了以下结果。术后早期功能恢复明显。可以进行一期手术。通过支气管闭塞实现了术后引流时间的缩短。目前的手术特别适用于身体状况较差的患者。计算机断层扫描对于评估引流部位至关重要。对于有一些分隔和多泡的巨大肺大疱,目前的治疗方式不适用。