Connolly J E
Department of Surgery, University of California, College of Medicine, Irvine, USA.
Chest Surg Clin N Am. 1995 Nov;5(4):765-76.
Bullous emphysema patients with severe dyspnea or repeated pneumothorax who demonstrate compression or crowding of relatively normal underlying lung can benefit significantly from surgical intervention. As much of the normal lung should be preserved as possible by excision only of the bullae. Buttressing of the stapled bases of the bullae may minimize postoperative air leak, allowing even simultaneous bilateral operation. Further experience and follow-up of the thoracoscopic approach to bullectomy may establish it as the approach of choice rather than thoracotomy.
对于患有严重呼吸困难或反复气胸且显示相对正常的肺组织受到压迫或拥挤的大疱性肺气肿患者，手术干预可能会使其显著受益。应尽可能仅切除大疱，保留尽可能多的正常肺组织。对大疱的缝合边缘进行支撑可最大程度减少术后漏气，甚至允许同时进行双侧手术。胸腔镜下大疱切除术的更多经验和随访可能会使其成为首选方法而非开胸手术。
