Becker H P, Danz B, Schmelz H U, Radomsky J, Bähren W, Gerngross H
Abteilung Chirurgie, Bundeswehrkrankenhauses Ulm.
Chirurg. 1997 Mar;68(3):255-8. doi: 10.1007/s001040050183.
Between 1984 and 1994, 27 men and 4 women with primary spontaneous pneumothorax were treated surgically by excision of the bullae, without pleurectomy. The purpose of the present study was to establish by computed tomography (CT) of the lung whether the excision permanently eliminated the cause of pneumothorax. The median follow-up was 72 (21-127) months. There were two patients with recurrences (6.4%) who were operated on again. Sixteen of 31 patients had new blebs in the apex of the lung as documented by postoperative CT. The study indicates that simple excision of the bullous area cannot prevent the recurrence of blebs.
1984年至1994年间，27名男性和4名女性原发性自发性气胸患者接受了手术治疗，切除肺大疱但未进行胸膜切除术。本研究的目的是通过肺部计算机断层扫描（CT）确定切除是否能永久消除气胸的病因。中位随访时间为72（21 - 127）个月。有2例复发患者（6.4%）再次接受了手术。术后CT显示，31例患者中有16例在肺尖出现了新的肺大疱。该研究表明，单纯切除肺大疱区域并不能预防肺大疱复发。
