Poore R E, Sexton W J, Hart L J, Assimos D G
Department of Urology, Wake Forest University Medical Center, Winston-Salem, North Carolina, USA.
J Urol. 1996 Mar;155(3):849-51.
We determined whether routine postoperative chest radiography is warranted after flank surgery to assess for pneumothorax.
A retrospective study of 253 adult flank operations performed during a 6-year period was conducted.
Incidental pleurotomy occurred in 63 cases (24.9%). The performance of rib resection and the level of rib removed as well as female gender had a significant impact on this occurrence. Pleurotomy was treated by a simple evacuation technique and tube thoracostomy was not necessary. Only 2 patients (0.8%) had a postoperative pneumothorax without intraoperative recognition of pleurotomy, which resolved without intervention.
Routine postoperative chest radiography to assess for pneumothorax following open flank surgery is not necessary.
我们确定了在侧腹手术后进行常规胸部X线检查以评估气胸是否必要。
对6年内进行的253例成人侧腹手术进行回顾性研究。
63例（24.9%）发生了意外胸膜切开术。肋骨切除术的实施、切除肋骨的水平以及女性性别对该情况有显著影响。胸膜切开术通过简单的排气技术进行治疗，无需胸腔闭式引流术。只有2例患者（0.8%）术后发生气胸，术中未识别出胸膜切开术，未经干预自行缓解。
开放性侧腹手术后常规进行胸部X线检查以评估气胸没有必要。
